Hepatitis C en pacientes con enfermedad renal crónica: ha llegado la oportunidad de erradicarla. Reseña del manejo en esta población con el advenimiento de las nuevas drogas antivirales directas
Resumen
Con el advenimiento de los nuevos antivirales de acción directa (DAA) para el tratamiento de la Hepatitis C, y su posible utilización en enfermos con insuficiencia renal terminal y trasplantados renales se abre la posibilidad de la erradicación de dicha infección en ésta población. De lograrse la misma tendría enorme impacto clínico dada la mayor tasa de morbimortalidad que dicha infección genera en ésta población ya sea por sus complicaciones hepáticas como extrahepáticas, donde las glomerulopatías juegan un rol preponderante. En éste artículo nos enfocamos en revisar los adelantos publicados con respecto al posible rol patogénico del virus C en el daño endotelial de los pacientes renales, su incidencia e impacto clínico. Asimismo revisamos las guías recientes de KDIGO en lo referente a los criterios de tratamiento y el tipo de régimen recomendado en cada escenario.
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