Serum concentration of type III aminoterminal procollagen as a marker of hepatic fibrosis in infants with chronic hepatitis
DOI:
https://doi.org/10.22491/2357-9730.125027Keywords:
Chronic hepatopathy, fibrosis, infants, choice of methodAbstract
OBJECTIVE: To compare type III aminoterminal procollagen serum levels with the histological hepatic study of infants with hepatitis.
PATIENTS AND METHODS: We evaluated 38 patients, with ages that ranged from 5 to 104 weeks, and who had chronic hepatitis caused by different reasons. The
histological analysis was carried out according to Knodell’s score.
RESULTS: Four patients had a Knodell score of 0, 11 patients had a Knodell score of 1, 20 patients had a Knodell score of 2, and three patients had a Knodell score of 4. The levels of type III aminoterminal procollagen increased in 12 patients, decreased
in 10 other patients, and were normal, for the respective age range of the patient, in the remaining 16 patients. The result of the statistical analysis of the comparison
between type III aminoterminal procollagen and fibrosis was P=0.549, with Spearman’s correlation test -0.25. The odds ratio was 1.47, which correlates high levels of type III aminoterminal procollagen with fibrosis.
CONCLUSION: We concluded that type III aminoterminal procollagen is not an adequate
marker for hepatic fibrosis in infants. Histological analysis remains the method of choice.
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