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When should treatment be stopped ? |
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Hépato-Gastro. Volume 16, 55-9, septembre 2009, Mini-revue |
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 Résumé
Article gratuit
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Author(s) : Tarik Asselah, Patrick Marcellin |
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Summary : These last 5 years, important progress has been made in the treatment of chronic hepatitis B (CHB), and seven drugs are currently licensed for the treatment of CHB: interferon alfa, pegylated interferon alfa-2a, lamivudine, adefovir, entecavir, telbivudine, and tenofovir. HBs seroconversion is the ideal goal of treatment since it is associated with long-term remission. In HBe positive CHB patients, HBV DNA suppression to undetectable levels in real-time PCR and subsequent HBe seroconversion are associated with biochemical and histological responses. Treatment can be stopped 6 to 12 months after HBe seroconversion, however, these patients require long-term follow-up because of the possibility of HBe seroreversion or HBeAg-negative CHB. Treatment should not be stopped in patients with cirrhosis. In HBe negative CHB patients, treatment should be administrated indefinitely. |
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Keywords : tenofovir, pegylated interferon, telbivudine, entecavir |
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Copyright © 2007 John Libbey Eurotext - Tous droits réservés