{"id":1842,"date":"2008-10-01T01:00:00","date_gmt":"2008-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/guerison-miraculeuse-dune-cirrhose-terminale-virale-c-cas-clinique\/"},"modified":"2018-10-20T18:39:44","modified_gmt":"2018-10-20T16:39:44","slug":"guerison-miraculeuse-dune-cirrhose-terminale-virale-c-cas-clinique","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/guerison-miraculeuse-dune-cirrhose-terminale-virale-c-cas-clinique\/","title":{"rendered":"Gu\u00e9rison miraculeuse d\u2019une cirrhose terminale virale C (cas clinique)"},"content":{"rendered":"<p><strong>2008<\/strong><\/p>\n<p><em>Mehran HOWAIZI, Pierre AKUE-GOEH, Fadi HAYDAR, Emmanuel LAPOILE, Fran\u00e7oise MAURER-CHAGRIN<\/em><\/p>\n<p><strong>H\u00e9patologie <\/strong>&#8211; \u00a02008-06-04 &#8211;\u00a0 &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Un patient de 71 ans d\u2019origine maghrebine \u00e9tait hospitalis\u00e9 en mai 2005 en raison d\u2019une cirrhose d\u00e9compens\u00e9e au stade child-pugh C 11.  Il n\u2019avait pas d\u2019ant\u00e9c\u00e9dents marqu\u00e9s ni de notion d\u2019alcoolisation ou de transfusion.<br \/>\nL\u2019examen d\u2019entr\u00e9e montrait ; une ascite abondante, une enc\u00e9phalopathie h\u00e9patique ainsi qu\u2019un \u00e9tat de d\u00e9nutrition \u00e9voluant depuis quelques semaines.<br \/>\nLe bilan biologique montrait une albumin\u00e9mie \u00e0 20 g\/L,  HG 100G\/L, Plaquettes 100G\/L, ALT 55U\/L, AST60U\/L, bilirubine 30\u00b5mol\/L, PAL 262 UI\/L, GGT 89UI\/L, TP 19.5 sec. L\u2019ionogramme et le reste du bilan \u00e9taient normaux. La s\u00e9rologie VHC \u00e9tait positive et la charge virale \u00e9tait de 1221700 UI\/ML de g\u00e9notype 2a. L\u2019alpha foetoprot\u00e9ine \u00e9tait normal et l\u2019\u00e9chographie ne retrouvait pas de CHC.<br \/>\nUne monoth\u00e9rapie par Ribavirine \u00e9tait instaur\u00e9e \u00e0 raison de 1000 mg\/J et stopp\u00e9e 1 mois plus tard en raison de vertiges et de lombalgies attribu\u00e9s par le malade au traitement. Dans les suites, l\u2019ascite et l\u2019enc\u00e9phalopathie ont progressivement disparu parall\u00e8lement \u00e0 la normalisation compl\u00e8te et persistante du bilan biologique et la n\u00e9gativation de la charge virale \u00e0 3, 6, 24, 36 mois.<\/p>\n<p>La prise en charge d\u2019une h\u00e9patite virale C au stade de cirrhose d\u00e9compens\u00e9e est un challenge en raison de la mauvaise tol\u00e9rance du traitement qui souvent ne peut \u00eatre men\u00e9 \u00e0 terme. Le nombre d\u2019essai de traitement antiviral au cours des cirrhoses d\u00e9compens\u00e9es est limit\u00e9. Les complications sont not\u00e9es dans 60 \u00e0 87% conduisant \u00e0 l\u2019arr\u00eat th\u00e9rapeutique.  La  transplantation reste dans la majorit\u00e9 des cas le seul recours th\u00e9rapeutique efficace. Bien que Le g\u00e9notype 2 du VHC est celui qui r\u00e9ponde le mieux au traitement antiviral, son \u00e9radication apr\u00e8s seulement 1 mois de ribavirine n\u2019a jamais \u00e9t\u00e9 rapport\u00e9e notamment au cours d\u2019une cirrhose terminale.<br \/>\nCe cas illustre la place de la monoth\u00e9rapie ribavirine au cours des cirrhoses d\u00e9compens\u00e9es pouvant conduire \u00e0 une Reponse Virale Soutenue et une r\u00e9gression salutaire de l\u2019h\u00e9patopathie. Un essai multicentrique au cours des cirrhoses virales C d\u00e9compens\u00e9es reste utile notamment en testant un traitement crescendo (monoth\u00e9rapie Ribavirine \u00e0 dose progressive puis si l\u2019\u00e9tat du sujet le permet, son  association \u00e0 l\u2019interf\u00e9ron \u00e0 dose progressive).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2008 Mehran HOWAIZI, Pierre AKUE-GOEH, Fadi HAYDAR, Emmanuel LAPOILE, Fran\u00e7oise MAURER-CHAGRIN H\u00e9patologie &#8211; \u00a02008-06-04 &#8211;\u00a0 &#8211; ________________________________ Un patient de 71 ans d\u2019origine maghrebine \u00e9tait hospitalis\u00e9 en mai 2005 en raison d\u2019une cirrhose d\u00e9compens\u00e9e au stade child-pugh C 11. Il n\u2019avait pas d\u2019ant\u00e9c\u00e9dents marqu\u00e9s ni de notion d\u2019alcoolisation ou de transfusion. L\u2019examen d\u2019entr\u00e9e montrait ; [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[3],"tags":[19],"class_list":["post-1842","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-19"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Gu\u00e9rison miraculeuse d\u2019une cirrhose terminale virale C (cas clinique) - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/guerison-miraculeuse-dune-cirrhose-terminale-virale-c-cas-clinique\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Gu\u00e9rison miraculeuse d\u2019une cirrhose terminale virale C (cas clinique) - 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