Increased mean platelet volume in chronic hepatitis B patients with inactive disease.

Abstract:

BACKGROUND:Hepatitis B virus (HBV) infection is a major public health problem worldwide, responsible for considerable morbidity and mortality from chronic liver disease. Conflicting findings on the possible association between HBV surface antigen (HBsAg) positivity, indicating inactive HBsAg carrier status, and atherosclerosis have been reported. Platelet activation and aggregation are central processes in the pathophysiology of atherosclerosis. Mean platelet volume, a determinant of platelet activation, is a newly emerging risk factor for atherothrombosis. Elevated MPV levels have been identified as an independent risk factor for myocardial infarction in patients with coronary heart disease, and for death or recurrent vascular events after myocardial infarction. Moreover, increased platelet size has been reported in patients with vascular risk factors such as diabetes mellitus, in patients with acute ischemic stroke, and essential hypertension. According to our knowledge, there has been no previous study of MPV in inactive HBsAg carriers. Therefore, we have investigated the possible association between HBsAg positivity and MPV. MATERIAL/METHODS:We selected 260 inactive HBsAg carriers, and 80 healthy control subjects matched for age, sex, and body mass index. RESULTS:The MPV level was significantly higher in the inactive HBsAg carrier group than in the control group (8.8+/-1.2 fl vs 8.1+/-0.9 fl, P=.001). CONCLUSIONS:Our results suggest that inactive HBsAg carriers tend to have relatively increased platelet activation and an atherothrombotic risk.

journal_name

Med Sci Monit

authors

Turhan O,Coban E,Inan D,Yalcin AN

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

CR202-205

issue

4

eissn

1234-1010

issn

1643-3750

pii

878503

journal_volume

16

pub_type

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