Abstract

    Hepatitis-B (HBV) is a viral disease cause liver damage, cirrhosis, fibrosis and hepatocellular carcinoma. Present study attempted to elucidate the biochemical and haematological markers other than Australia antigen, of hepatitis,B,vairusV (HBsAg) for better assessment of HBV infection.  The present study was conducted on 76 men, 50 of them were found to be HBeAg positive and 26 were negative, mean age was53±5.7years. Haematological parameters such as Absolute  Erythrocyte( Abs  Eryt), Absolute Leukocyte(Abs Leuk) , Haemoglobin(Hb), Packed Cell Volume(PCV),Mean Corpuscular Volume (MCV), Red Cell Distribution Width (RDW), Mean  Corpuscular  Haemoglobin (MCH),MCH Concentration(MCHC) ,Neutrophils(Neut) ,Lymphocyte(Lymph), Monocyte(Mono), Eosinophil(Eosin) , Basophil (Baso)  , Absolut platelet(Abs.Plt), Red Blood Distribution(RBD)and biochemical markers such as Alanine aminotransferase(ALT), Aspartate aminotransferase(AST), Alkaline phosphatase(ALP), Gamma glutamyl transpeptidase(GGT),  Total Bilirubin (T.Bil), Albumin(Alb), C- reactive protein (CRP),  Amylase(Amy), Creatinine(Crea), Sodium(Na) , Potassium(K), were estimated for HBV patients and healthy groups.Statically at (P≤ 0.05) Abs Plt was highly significant elevated, Hb, Abs Leuk, Neut%, Lymph% and Eosin% were significant increases while other haematological parameters showed no differences   in HBV patients compared with controls. Liver enzymes (ALT, AST, GGT) and T.Bil were highly significant increased, Alb , CRP and Amyl were moderately increased, niether  Crea, Na nor K levels have differences  in HBV patients compared with controls.ALT has strong positive correlation with Leuk and with Abs Plt in HBV patients. liver enzymes ALT, AST, ALP, GGT, T.Bil  and Abs Plt can be used as  monitoring markers with the strong correlation between ALT and Abs Plt as an assessment  tools for HBV infection.

Highlights

  • Hepatitis-B Virus (HBV) infection is a continuous global health problem that infected about 2 billion people worldwide

  • Abs Plt was highly significant related to liver infection in the present study compared with non-infected liver, this result is in agreement with the fact stated by others that Plt is a good indicator for liver inflammation and advanced liver fibrosis and strongly related with the HBV status [30,31]

  • High significant increases were observed in ALT, AST, Alkaline phosphatase (ALP) and Gamma glutamyl transpeptidase (GGT) at (p≤0.05) in HBV compared with control, these results are in agreement with others [22], [33,34]

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Summary

Introduction

Hepatitis-B Virus (HBV) infection is a continuous global health problem that infected about 2 billion people worldwide. Viral infections that disrupt liver function can be accompanied by changes of liver enzymes level, it is not specific for HBV only. Liver enzymes such as amino transferases i.e. AST, ALT, ALP and GGT, are sensitive and one of the widely used blood tests for evaluating patients with HBV. These enzymes are usually contained within the hepatocytes and are spilled into the blood stream when the liver is infected [10]. This study was performed for the determination of the relationship between biochemical and haematological alternations, and whether this could provide a reliable method for a better assessment of liver destruction in patients with HBV

Materials and Methods
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