1
|
Scelza G, Amato A, Pagano AM, Matteis GD, Caruso R, Scelza A, Sisalli L, Biasi SD, Marigliano F, Gagliardi M, Martina S, Iandolo A. Effect of hepatitis C antiviral therapy on oral lichen planus and hyposalivation in inmates. Ann Gastroenterol 2022; 35:74-79. [PMID: 34987292 PMCID: PMC8713335 DOI: 10.20524/aog.2021.0672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 08/08/2021] [Indexed: 11/25/2022] Open
Abstract
Background Oral lichen planus (OLP) and hyposalivation have been reported as extrahepatic manifestations of hepatitis C virus (HCV) infection. Our study evaluated the effect of direct antiviral agents (DAAs) on OLP and hyposalivation in convicts with chronic hepatitis C, examining patients before, during and after the antiviral treatment period with direct acting antiviral agents (DAAs). Methods We screened 198 inmates for the presence of the HCV antibody. Patients found to be positive underwent a quantitative HCV-RNA test and HCV genotype typing, as well as an oral cavity examination using a scoring system for OLP (REU score) and the clinical oral dryness score (CODS). Subsequently, all patients underwent DAA therapy and a systematic physical examination of the oral cavity at 1, 3 and 6 months from the beginning of treatment. Results Fifty patients (25.25%) had a positive HCV-RNA test. At baseline, OLP was detected in 4 patients (8%), with a mean REU score of 10.13±4, and different degrees of hyposalivation were seen in 17 patients (34%), with a mean CODS score of 4.71±1.72. Six months after the start of DAA therapy, we observed resolution of OLP in 3 patients (75%) and improvement in the remaining subject with a significantly lower mean REU score (2±4). Hyposalivation disappeared in 5 patients, improved in 10, and remained unchanged in 2 patients with a significantly lower mean CODS score (0.06±0.24). Conclusion This study demonstrated the effectiveness of DAAs in the treatment of OLP and hyposalivation.
Collapse
Affiliation(s)
- Giuseppe Scelza
- Department of Medicine and Surgery, University of Salerno (Giuseppe Scelza, Alessandra Amato, Laura Sisalli, Stefano Martina, Alfredo Iandolo)
| | - Alessandra Amato
- Department of Medicine and Surgery, University of Salerno (Giuseppe Scelza, Alessandra Amato, Laura Sisalli, Stefano Martina, Alfredo Iandolo)
| | - Antonio Maria Pagano
- Health protection for adults and youth Unit, Penitentiary Institute (Antonio Maria Pagano, Giuseppe De Matteis, Rosa Caruso, Antonio Scelza, Sebastiana De Biasi, Francesca Marigliano)
| | - Giuseppe De Matteis
- Health protection for adults and youth Unit, Penitentiary Institute (Antonio Maria Pagano, Giuseppe De Matteis, Rosa Caruso, Antonio Scelza, Sebastiana De Biasi, Francesca Marigliano)
| | - Rosa Caruso
- Health protection for adults and youth Unit, Penitentiary Institute (Antonio Maria Pagano, Giuseppe De Matteis, Rosa Caruso, Antonio Scelza, Sebastiana De Biasi, Francesca Marigliano)
| | - Antonio Scelza
- Health protection for adults and youth Unit, Penitentiary Institute (Antonio Maria Pagano, Giuseppe De Matteis, Rosa Caruso, Antonio Scelza, Sebastiana De Biasi, Francesca Marigliano)
| | - Laura Sisalli
- Department of Medicine and Surgery, University of Salerno (Giuseppe Scelza, Alessandra Amato, Laura Sisalli, Stefano Martina, Alfredo Iandolo)
| | - Sebastiana De Biasi
- Health protection for adults and youth Unit, Penitentiary Institute (Antonio Maria Pagano, Giuseppe De Matteis, Rosa Caruso, Antonio Scelza, Sebastiana De Biasi, Francesca Marigliano)
| | - Francesca Marigliano
- Health protection for adults and youth Unit, Penitentiary Institute (Antonio Maria Pagano, Giuseppe De Matteis, Rosa Caruso, Antonio Scelza, Sebastiana De Biasi, Francesca Marigliano)
| | - Mario Gagliardi
- Gastroenterology Unit, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno (Mario Gagliardi), Salerno, Italy
| | - Stefano Martina
- Department of Medicine and Surgery, University of Salerno (Giuseppe Scelza, Alessandra Amato, Laura Sisalli, Stefano Martina, Alfredo Iandolo)
| | - Alfredo Iandolo
- Department of Medicine and Surgery, University of Salerno (Giuseppe Scelza, Alessandra Amato, Laura Sisalli, Stefano Martina, Alfredo Iandolo)
| |
Collapse
|
2
|
Wang G, Zhao B, Kong Y, Ma D, Yang L, Song Y, Wang X. A preliminary study on submariners with xerostomia after a 3-month deployment. Medicine (Baltimore) 2020; 99:e19523. [PMID: 32332601 PMCID: PMC7220551 DOI: 10.1097/md.0000000000019523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
To observe the clinical manifestations and salivary secretion of xerostomia patients in submariners who engaged in a three-month deployment. The general conditions and clinical examination of the 136 submariners were evaluated, by which the patients with xerostomia were screened out and their clinical manifestations were recorded. Besides, the flow rate of unstimulated saliva and stimulated saliva was measured and calculated. Subsequently, the related factors of xerostomia were quantitatively classified and statistically analyzed. In all the involved submariners, 42 were diagnosed to have xerostomia by physical examination after they returned from the task, among which 71.4% showed a decrease in unstimulated salivary flow rate and it was significantly correlated with the accompanying symptoms and their general conditions. Therefore, it was concluded that the occurrence of xerostomia could be related to the service life and job responsibilities of the submariners. The main manifestations were the reduction of unstimulated salivary secretion and the accompanying clinical symptoms such as cheilosis and angular cheilitis. Noticeably, the high psychological pressure and harsh living conditions need to be concerned, and further study should place more concentrations on these comprehensive influence factors and preventive actions of xerostomia.
Collapse
Affiliation(s)
- Guowei Wang
- Department of Stomatology, No. 971 Hospital of the PLA Navy
| | - Baodong Zhao
- Department of Oral Implantology, The Stomatological School and The Affiliated Hospital of Qingdao University, Qingdao
| | - Yujia Kong
- Department of Public Health and Management, Weifang Medical University, Weifang, Shandong
| | - DeXun Ma
- Department of Stomatology, No. 971 Hospital of the PLA Navy
| | - Lin Yang
- Department of Stomatology, No. 971 Hospital of the PLA Navy
| | - Yingliang Song
- State Key Laboratory of Military Stomatology, The Fourth Military Medical University, Xi’an, Shaanxi, PR China
| | - Xiaojing Wang
- Department of Oral Implantology, The Stomatological School and The Affiliated Hospital of Qingdao University, Qingdao
| |
Collapse
|