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Hepatitis C virus infection in Italian patients with fibromyalgia

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Abstract

We evaluated the prevalence of hepatitis C virus (HCV) infection in Italian patients suffering from fibromyalgia (FM), in comparison with patients affected by non-HCV related rheumatic degenerative disorders. Consecutive patients with FM and a statistically comparable group of patients suffering from peripheral osteoarthritis (OA) or sciatica due to L4-L5 or L5-S1 herniated disc were tested for HCV infection with a third-generation microparticle enzyme immunoassay (MEIA). In the positive cases, a third-generation recombinant immunoblot assay (RIBA) confirmatory test and serum HCV-RNA test were performed. Fisher’s exact test was performed to compare the prevalence of HCV infection (MEIA- and RIBA-positive results) obtained in the two enrolled groups. Enrolled were 152 subjects suffering from FM and 152 patients with peripheral OA or sciatica. Anti-HCV antibodies were found in 7/152 (4.6%) patients suffering from FM and in 5/152 (3.3%) of control subjects. No statistically significant differences in HCV prevalence were detected between cases and controls. Our present report does not confirm previous data indicating an increased prevalence of HCV in FM patients and does not seem to support a significant pathogenetic role of HCV under this condition.

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References

  1. Palazzi C, Olivieri I, D’Amico E et al (2005) Difficulties in the differential diagnosis between primitive rheumatic diseases and hepatitis C virus-related disorders. Clin Exp Rheumatol 23:2–6

    PubMed  CAS  Google Scholar 

  2. Sagnelli E, Gaeta GB, Felaco FM et al (1997) Hepatitis C virus infection in households of anti-HCV chronic carriers in Italy: a multicentre case-control study. Infection 25:346–349

    Article  PubMed  CAS  Google Scholar 

  3. Osella AR, Sonzogni L, Cavallini A et al (1999) Molecular epidemiology of hepatitis C virus infection in an area of hyperendemicity in southern Italy: a population-based study. J Clin Microbiol 37:2371–2372

    PubMed  CAS  Google Scholar 

  4. Maggi G, Armitano S, Brambilla L et al (1999) Hepatitis C infection in an Italian population not selected for risk factors. Liver 19:427–431

    Article  PubMed  CAS  Google Scholar 

  5. Raffaele A, Valenti M, Iovenitti M et al (2001) High prevalence of HCV infection among the general population in a rural area of central Italy. Eur J Epidemiol 17:41–46

    Article  PubMed  CAS  Google Scholar 

  6. Campello C, Poli A, Dal MG et al (2002) Seroprevalence, viremia and genotype distribution of hepatitis C virus: a community-based population study in northern Italy. Infection 30:7–12

    Article  PubMed  CAS  Google Scholar 

  7. Cecere A, Marotta F, Lucariello A et al (2003) High prevalence of hepatitis C virus infection in a southern Italian rural region. Clinical aspects and evidence of inapparent parenteral exposure. Panminerva Med 45:253–259

    PubMed  CAS  Google Scholar 

  8. Bradley LA, Alrcón GS (2005) Fibromyalgia. In: Koopman WJ, Moreland LW (eds) Arthritis and allied conditions 15th edn. Lippincott, Williams & Wilkins, Philadelphia, pp 1869–1910

    Google Scholar 

  9. Buskila D, Shnaider A, Neumann L et al (1997) Fibromyalgia in hepatitis C virus infection. Another infectious disease relationship. Arch Intern Med 157:2497–2500

    Article  PubMed  CAS  Google Scholar 

  10. Goulding C, O’Connel P, Murray FE (2001) Prevalence of fibromyalgia, anxiety and depression in chronic hepatitis C virus infection: relationship to RF-PCR status and mode of acquisition. Eur J Gastroenterol Hepatol 13:507–511

    Article  PubMed  CAS  Google Scholar 

  11. Poynard T, Cacoub P, Ratziu V et al (2002) Fatigue in patients with chronic hepatitis C. J Viral Hepatitis 9:295–303

    Article  CAS  Google Scholar 

  12. Kozanoglu E, Canataroglu A, Abayli BV et al (2003) Fibromyalgia syndrome in patients with hepatitis C infection. Rheumatol Int 23:248–251

    Article  PubMed  Google Scholar 

  13. Rivera J, de Diego A, Trinchet M et al (1997) Fibromyalgia-associated hepatitis C virus infection. Br J Rheumatol 36:981–985

    Article  PubMed  CAS  Google Scholar 

  14. Narvaez J, Nolla JM, Valverde-Garcia J (2005) Lack of association of fibromyalgia with hepatitis C virus infection. J Rheumatol 32:1118–1121

    PubMed  Google Scholar 

  15. Wolfe FM, Smythe H, Yunus MB (1990) The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of a Multicenter Criteria Committee. Arthritis Rheum 33:160–172

    Article  PubMed  CAS  Google Scholar 

  16. Marquez J, Restrepo CS, Candia L et al (2004) Human immunodeficiency virus-associated rheumatic disorders in the HAART era. J Rheumatol 31:741–746

    PubMed  Google Scholar 

  17. Cruz BA, Catalan-Soares B, Proietti F (2006) Higher prevalence of fibromyalgia in patients infected with human T cell lymphotropic virus type I. J Rheumatol 33:2300–2303

    PubMed  Google Scholar 

  18. Wittrup IH, Jensen B, Bliddal H et al (2001) Comparison of viral antibodies in 2 groups of patients with fibromyalgia. J Rheumatol 28:601–603

    PubMed  CAS  Google Scholar 

  19. Cacoub P, Poynard T, Ghillani P et al (1999) Extrahepatic manifestations of chronic hepatitis C. Arthritis Rheum 42:2204–2212

    Article  PubMed  CAS  Google Scholar 

  20. Olivieri I, Palazzi C, Padula A (2003) Hepatitis C virus infection and arthritis. Rheum Dis Clin North Am 29:111–122

    Article  PubMed  Google Scholar 

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Correspondence to S. D’Angelo.

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Palazzi, C., D’Amico, E., D’Angelo, S. et al. Hepatitis C virus infection in Italian patients with fibromyalgia. Clin Rheumatol 27, 101–103 (2008). https://doi.org/10.1007/s10067-007-0737-4

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  • DOI: https://doi.org/10.1007/s10067-007-0737-4

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