| Serum hyaluronic acid as a comprehensive marker to assess severity of liver disease in schistosomiasis. | |
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MedLine Citation:
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PMID: 12429428 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Schistosomiasis mansoni is a non-cirrhotic fibrogenic disease model. The mild form shows normal liver function with slight or no liver fibrosis whereas in the periportal fibrosis form the manifestations of portal hypertension prevail over hepatocellular failure. We assessed serum hyaluronic acid as a marker of the course of the disease. We studied 24 patients presenting with pure chronic forms of schistosomiasis and seven with cirrhosis. In order to measure serum hyaluronic acid we developed a sandwich fluorescent ELISA-like assay. alpha2-Macroglobulin, prothrombin index, gamma-glutamyltransferase, platelets and ultrasound parameters were also assessed. The 20 micro g/l (ROC plot) hyaluronic acid level differentiated patients with the mild form (with no portal hypertension) from those with the severe form of schistosomiasis with 78% diagnostic efficacy. The 80 micro g/l cut-off value differentiated patients with the severe form of schistosomiasis from the cirrhotic group with similar diagnostic efficacy. alpha2-Macroglobulin provided no distinction between the groups studied. The hyaluronic acid serum concentration correlated positively with the splenic vein diameter (P=0.004) and marginally with alpha2-macroglobulin (P=0.059). Serum hyaluronic acid is a good marker for the initial phase of hepatic fibrosis and it was able to assess severity of liver disease in schistosomiasis. |
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Authors:
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L A Köpke-Aguiar; J R M Martins; C C Passerotti; C F Toledo; H B Nader; Durval R Borges |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Acta tropica Volume: 84 ISSN: 0001-706X ISO Abbreviation: Acta Trop. Publication Date: 2002 Nov |
Date Detail:
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Created Date: 2002-11-13 Completed Date: 2002-12-10 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370374 Medline TA: Acta Trop Country: Netherlands |
Other Details:
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Languages: eng Pagination: 117-26 Citation Subset: IM |
Affiliation:
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Department of Medicine, Universidade Federal de São Paulo, São Paulo, Brazil. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Biological Markers Female Humans Hyaluronic Acid / blood* Liver Cirrhosis / blood* Male Middle Aged Schistosomiasis mansoni / blood*, classification Severity of Illness Index alpha-Macroglobulins / metabolism |
| Chemical | |
Reg. No./Substance:
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0/Biological Markers; 0/alpha-Macroglobulins; 9004-61-9/Hyaluronic Acid |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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