Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML)
Vol. 25 No. 2 (2019)

THE CORRELATION OF ANEMIA AND HEPCIDIN SERUM LEVELS IN REGULAR HEMODIALYSIS PATIENTS WITH CHRONIC HEPATITIS C IN HAJI ADAM MALIK HOSPITAL MEDAN

Wingsar Indrawanto (Department of Clinical Phatology, Faculty of Medicine, Sumatera Utara University-Haji Adam Malik Hospital Medan, Indonesia.)
Adi Koesoema Aman (Department of Clinical Phatology, Faculty of Medicine, Sumatera Utara University-Haji Adam Malik Hospital Medan, Indonesia.)
Alwi Thamrin (Department of Interna Medicine, Faculty of Medicine, Sumatera Utara University-Haji Adam Malik Hospital Medan, Indonesia)



Article Info

Publish Date
13 Apr 2019

Abstract

End-Stage Renal Disease (ESRD) patients who undergo hemodialysis therapy are high-risk populations infected by the hepatitis C virus. Some studies have reported that hepcidin levels were decreased in patients with chronic hepatitis C. Hepcidin serum concentrations were also reported to increase in patients with renal failure in the line with increased severity of renal failure, which can cause the accumulation of hepcidin culminating in anemia due to iron deficiency. This study was to analyze the correlation of anemia and hepcidin serum levels in ESRD patients who underwent regular hemodialysis with chronic hepatitis C. This was an analytical observational study with cross-sectional design, conducted on 24 ESRD patients with chronic hepatitis C and 24 patients with ESRD without hepatitis who were undergoing regular hemodialysis therapy in the Adam Malik Hospital, Medan during July – September 2016. All study subjects were examined for full blood count and hepcidin serum levels. The result of the iron status was recorded from the patient’s medical record. In this study, the mean hemoglobin was 8.15±1.44 g/dL, mean hematocrit 25.42±4.53%, median hepcidin levels 29.75 (4.92-359.49) in the ESRD patients with chronic hepatitis C and mean hemoglobin 8.21±1.50 g/dL, mean hematocrit 25.25±4.37%, median hepcidin levels 30.33 (11.65-141.53) in the ESRD patients without hepatitis. The Spearman’s rho test showed a positive correlation that was significant between hepcidin and hemoglobin (r = 0.439, p=0.032), hepcidin and hematocrit (r = 0.021; p=0.024) in ESRD patients with chronic hepatitis C. This study showed a positive correlation between anemia and hepcidin serum levels in ESRD patients with chronic hepatitis C who underwent regular hemodialysis.

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Journal Info

Abbrev

patologi

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience

Description

Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) is a journal published by “Association of Clinical Pathologist” professional association. This journal displays articles in the Clinical Pathology and Medical Laboratory scope. Clinical Pathology has a couple of ...