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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We hereby thank Dr Mart&#237;n-G&#243;mez for her interest in our article &#8220;Infection with hepatitis C virus&#44; interferon &#945; and lupus&#58; An odd association&#8221;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> and her comment on it&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">As she clearly explains in her remark&#44; the presence of antinuclear antibodies &#40;ANA&#41; among patients with chronic HCV infection has been extensively described in the literature as an immune epiphenomenon lacking clinical significance in most cases&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Additional supporting tests&#44; including extending the autoantibody profile&#44; should only be performed in patients whose clinical or analytical findings are unrelated to hepatitis C&#46; This rules out associated diseases&#44; such as autoimmune hepatitis or drug-induced lupus&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Following treatment&#44; our patient had fever&#44; asthenia&#44; and arthralgia&#44; as well as positive anti-histone antibodies&#46; The temporal relationship between concomitant interferon treatment and negative HCV tests resulted in the diagnosis and subsequent therapy of the patient&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">By contrast&#44; the advent of new drugs for the treatment of HCV&#44; such as the nucleotide NS5B polymerase inhibitor&#44; sofosbuvir&#44; and the NS5A inhibitor&#44; daclatasvir&#44; paves the way for interferon-free treatments&#46; These new drugs will avoid the interferon-associated adverse effects&#44; while achieving highly sustained virologic response rates&#46; However&#44; further studies should be conducted in special populations&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> including patients with end-stage renal disease undergoing haemodialysis&#46;</p></span>"
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Letter to the Editor
Reply to the comment “Infection with hepatitis C virus, interferon α and lupus: An odd association”
Respuesta al comentario de «Infección por virus de la hepatitis C, interferón α y lupus, una curiosa asociación»
Pilar Auñón
Corresponding author
, Enrique Morales
Servicio de Nefrología, Hospital Universitario 12 de Octubre, Madrid, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We hereby thank Dr Mart&#237;n-G&#243;mez for her interest in our article &#8220;Infection with hepatitis C virus&#44; interferon &#945; and lupus&#58; An odd association&#8221;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> and her comment on it&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">As she clearly explains in her remark&#44; the presence of antinuclear antibodies &#40;ANA&#41; among patients with chronic HCV infection has been extensively described in the literature as an immune epiphenomenon lacking clinical significance in most cases&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Additional supporting tests&#44; including extending the autoantibody profile&#44; should only be performed in patients whose clinical or analytical findings are unrelated to hepatitis C&#46; This rules out associated diseases&#44; such as autoimmune hepatitis or drug-induced lupus&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Following treatment&#44; our patient had fever&#44; asthenia&#44; and arthralgia&#44; as well as positive anti-histone antibodies&#46; The temporal relationship between concomitant interferon treatment and negative HCV tests resulted in the diagnosis and subsequent therapy of the patient&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">By contrast&#44; the advent of new drugs for the treatment of HCV&#44; such as the nucleotide NS5B polymerase inhibitor&#44; sofosbuvir&#44; and the NS5A inhibitor&#44; daclatasvir&#44; paves the way for interferon-free treatments&#46; These new drugs will avoid the interferon-associated adverse effects&#44; while achieving highly sustained virologic response rates&#46; However&#44; further studies should be conducted in special populations&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> including patients with end-stage renal disease undergoing haemodialysis&#46;</p></span>"
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ISSN: 20132514
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