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Cited by 1,084

The DOI matches its Crossref record; 61 of the 61 references it cites were found in a registry or an index.

Course and outcome of hepatitis C

Open access
Hoofnagle, Jay H.·2002·Hepatology

Abstract

The hepatitis C virus (HCV) is a small enveloped RNA virus belonging to the family flaviviridae and genus hepacivirus. The HCV RNA genome is 9,600 nucleotides in length and encodes a single polyprotein that is post-translationally cleaved into 10 polypeptides including t3 structural (C, E1, and E2) and multiple nonstructural proteins ([NS] NS2 to NS5). The NS proteins include enzymes necessary for protein processing (proteases) and viral replication (RNA polymerase). The virus replicates at a high rate in the liver and has marked sequence heterogeneity. There are 6 genotypes and more than 90 subtypes of HCV, the most common in the United States being 1a and 1b (approximately 75%), 2a and 2b (approximately 15%), and 3 (approximately 7%). Acute hepatitis C is marked by appearance of HCV RNA in serum within 1 to 2 weeks of exposure followed by serum alanine aminotransferase (ALT) elevations, and then symptoms and jaundice. Antibody to HCV (anti-HCV) tends to arise late. In acute resolving hepatitis, HCV RNA is cleared and serum ALT levels fall to normal. However, 55% to 85% of patients do not clear virus, but develop chronic hepatitis C. Chronic hepatitis C is often asymptomatic, but is usually associated with persistent or fluctuating elevations in ALT levels. The chronic sequelae of hepatitis C include progressive hepatic fibrosis, cirrhosis, and hepatocellular carcinoma. Extra-hepatic manifestations include sicca syndrome, cryoglobulinemia, glomerulonephritis, and porphyria cutanea tarda. Knowledge of the course and outcome of hepatitis C is important in developing approaches to management and therapy. (Hepatology 2002;36:S21-S29).

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Metadata

Authors
Hoofnagle, J. H.
Venue
Hepatology
Published
2002-11
Volume
36
Issue
Supplement 1
Pages
S21-S29
ISSN
0270-9139 (ISSN-L)
OpenAlex
W2015336471
Cited by
1,084
References
61
FWCI
24.09
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Course and outcome of hepatitis C. https://app.cochat.ai/papers/10.1002/hep.1840360704
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Hoofnagle, J. H. (2002). Course and outcome of hepatitis C. Hepatology. https://doi.org/10.1002/hep.1840360704

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