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THE ROLE OF CHRONIC HEPATITIS C VIRUS IN THE DEVELOPMENT OF LIVER CIRRHOSIS AND CLINICAL OUTCOMES

Abstract

Chronic hepatitis C virus (HCV) infection is a leading cause of chronic liver disease worldwide, culminating in significant morbidity and mortality. The progression from chronic hepatitis to cirrhosis is a complex, multifactorial process that represents a critical turning point in the natural history of the disease. This article provides a comprehensive review of the pivotal role of HCV in the pathogenesis of liver cirrhosis, detailing the virological and host factors that influence disease progression. We explore the clinical manifestations and diverse outcomes of HCV-related cirrhosis, including the development of decompensated liver disease, hepatocellular carcinoma (HCC), and extrahepatic manifestations. Furthermore, we discuss the diagnostic modalities, management strategies, and the transformative impact of direct-acting antiviral (DAA) therapy on preventing cirrhosis and improving patient outcomes. Despite the success of DAAs, challenges remain in managing patients with pre-existing advanced fibrosis or cirrhosis, highlighting the continued importance of understanding the long-term sequelae of this infection. This review synthesizes current knowledge to provide a detailed perspective on the clinical challenges and management of HCV-induced cirrhosis.

Keywords

Hepatitis C Virus, Liver Cirrhosis, Chronic Hepatitis, Hepatocellular Carcinoma, Direct-Acting Antivirals, Liver Fibrosis, Portal Hypertension, Disease Progression.

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References

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