ETHNIC-DIFFERENCES IN THE INCIDENCE OF POSTNECROTIC CIRRHOSIS IN ISRAEL - CORRELATION WITH HEPATITIS-B VIRUS SEROLOGICAL MARKERS

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  • 1 January 1983
    • journal article
    • research article
    • Vol. 78  (10) , 656-660
Abstract
While immigrants from Morocco and Romania make up 7 and 6%, respectively, of the Israeli population, 1/3 of all postnecrotic cirrhosis patients come from Morocco and another third from Romania. The rate of hepatitis B virus (HBV) infection, as expressed by serum hepatitis B surface antigen, anti-hepatitis B surface antibody (anti-HBs) and anti-hepatitis B core antibody (anti-HBc), was compared in immigrant patients with postnecrotic cirrhosis and in age and sex matched controls from the same countries. Among 19 Moroccan immigrants with postnecrotic cirrhosis 74% showed evidence of HBV infection. This was not significantly different from the prevalence of HBV infection (64%) in a matched control group of 61 Moroccan individuals. In the 26 Romanian cirrhotics, however, a significantly higher prevalence of HBV infection than in the 60 matched controls was observed (54 and 23%, respectively, P < 0.01). The difference was detected only when anti-HBc was looked for in addition to hepatitis B surface antigen and anti-HBs. Evidently, HBV infection and postnecrotic cirrhosis are associated in Romanian immigrants to Israel. Association between HBV infection and cirrhosis in Moroccan immigrants cannot be shown because of the high infection rate in the control population. Anti-HBc is often the only marker of HBV infection in cirrhotic patients, and should be examined in addition to hepatitis B surface antigen and anti-HBs in order to get meaningful results.