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Vol. 24. Issue 5.
Pages 335-346 (May 2006)
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Vol. 24. Issue 5.
Pages 335-346 (May 2006)
Formación médica continuada
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Coinfección por el VIH y el virus de la hepatitis C
HIV and HCV coinfection
Visits
12104
Andrés Ruiz-Sancho, Vicente Soriano
Corresponding author
vsoriano@dragoner.es

Correspondencia: Dr. V. Soriano. Servicio de Enfermedades Infecciosas. Instituto de Salud Carlos III. Sinesio Delgado, 10. 28029 Madrid. España.
Servicio de Enfermedades Infecciosas. Hospital Carlos III. Madrid. España
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La hepatitis crónica por el virus de la hepatitis C (VHC) es una de las principales causas de morbilidad y mortalidad en los individuos infectados por el virus de la inmunodeficiencia humana (VIH) en los países desarrollados. Los pacientes coinfectados presentan una más rápida evolución a cirrosis y mayor riesgo de toxicidad hepática del tratamiento antirretroviral. El tratamiento de la hepatitis crónica C en pacientes VIH+ es menos eficaz que en pacientes monoinfectados por el VHC y requiere una especial experiencia.

Palabras clave:
Coinfección
Virus de la inmunodeficiencia humana
Virus de la hepatitis C

Chronic hepatitis due to hepatitis C virus (HCV) infection is now one of the leading causes of morbidity and mortality among HIV-infected individuals. Coinfected patients present an accelerated course toward cirrhosis and an enhanced risk of liver toxicity associated with the use of antiretroviral agents. Treatment of chronic hepatitis C in HIV+ patients is less efficacious than in HCV-monoinfected individuals and requires particular expertise.

Keywords:
Co-infection
Human immunodeficiency virus
Hepatitis C virus
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