Giant cell hepatitis (GCH) has been rarely described in adult HIV patients, and its outcome remain unknown. We report two cases of GCH among 81 HIV patients co-infected with the hepatitis C virus (HCV). Both patients had a sustained virological response, suppression of HCV viral load and HIV viral suppression after highly active antiretroviral therapy. Our findings would suggest that the presence of giant cells does not influence the clinical course of hepatitis.
PappoO, YunisE, JordanJA. Recurrent and de novo giant cell hepatitis after orthotopic liver transplantation.Am J Surg Pathol1994; 18: 804-13
4.
PotenzaL, LuppiM, BarozziP. HHV-6A in Syncitial Giant-Cell Hepatitis.N Eng J Med2008; 359: 593-602
5.
JoomayeZ, PerneyP, RamosJ. Giant cell hepatitis in the adult associated with HIV and hepatitis C virus co-infection.Rev Med Interne2000; 21: 1005-6
6.
MorenoA, MorenoA, Pérez-EliasMJ. Syncytial giant cell hepatitis in human immunodeficiency virus-infected patients with chronic hepatitis C: 2 cases and review of the literature.Hum Pathol2006; 37: 1344-9
7.
MicchelliST, ThomasD, BoitnottJK. Hepatic giant cells in hepatitis C virus (HCV) mono-infection and HCV/HIV co-infection.J Clin Pathol2008; 61: 1058-61
8.
LefkowitchJH. Recent developments in liver pathology.Hum Pathol2009; 40: 445-55
9.
IshakK, BaptistaA, BianchiL. Histological grading and staging of chronic hepatitis.J Hepatol1995; 22: 696-99
10.
Ben-AriZ, BroidaE, MonseliseY. Syncytial giant-cell hepatitis due to autoimmune hepatitis type II (LKM1+) presenting as subfulminant hepatitis.Am J Gastroenterol2000; 95: 799-801
11.
PhillipsMJ, BlendisLM, PoucellS. Syncitial giant-cell hepatitis. Sporadic hepatitis with distinctive pathological features, a severe clinical course, and paramixoviral features.N Engl J Med1991; 324: 455-60
12.
FimmelCJ, GuoL, CompansRW. A case of syncytial giant cell hepatitis with features of a paramyxoviral infection.Am J Gastroenterol1998; 93: 1931-7
PetrovicLM. HIV/HCV co-infection: histopathologic findings, natural history, fibrosis, and impact of antiretroviral treatment: a review article.Liver hit2007; 27: 598-606
15.
TordjmannT, GrimbertS, GenestieC. Adult multi-nuclear cell hepatitis. A study in 17 patients.Gastroenterol Clin Biol1998; 22: 305-10
16.
BenhamouY, BochetM, Di MartinoV. Liver fibrosis progression in human immunodeficiency virus and hepatitis C virus coinfected patients. The multivirc Group.Hepatology1999; 30: 1054-8
17.
SotoB, Sanchez-QuijanoA, RodrigoL. Human immunodeficiency virus infection modifies the natural history of chronic parenterally-acquired hepatitis C with an unusually rapid progression to cirrhosis.J Hepatol1997; 26: 1-5
18.
SodroskiJ, GohWC, RosenC. Role of the HTLV-III/LAV envelope in syncytium formation and cytopathicity.Nature1986; 322: 470-4