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Hepatitis B in Patients with HIV Infection: Relationship to AIDS and Patient Survival

Bruce F. Scharschmidt, MD; Michael J. Held, MA; Harry H. Hollander, MD; Alexandra E. Read, MD; Joel E. Lavine, MD, PhD; Genevieve Veereman, MD; Richard F. McGuire, MD; and M. Michael Thaler, MD
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Grant Support: By a grant from the UCSF AIDS Clinical Research Center with monies allocated by the State of California University-Wide AIDS Research Program, a State of California University-Wide Research Program grant (MMT-R90SF225), an American Liver Foundation Research Scholar Award, and the UCSF Liver Center (AM 26740).

Requests for Reprints: B. F. Scharschmidt, MD, 1120 HSW, Gastroenterology Division, University of California, San Francisco, CA 94143-0538.

Current Author Addresses: Dr. Scharschmidt, 1120 HSW, Gastroenterology Division, University of California, San Francisco, CA 94143-0538.

Mr. Held: Journal of Clinical Investigation Editorial Office, University of California, San Diego, P.O. Box 85182, San Diego, CA 92186-5112.

Dr. Hollander: Department of Medicine and Stomatology, University of California, San Francisco, Room A555, Box 0210, San Francisco, CA 94143.

Dr. Read: Overlake Internal Medicine Associates, 1011 116th Avenue, N.E., Bellevue, WA 98004.

Dr. Lavine: Children's Hospital, 320 Longwood Avenue, ENDERS 4, Boston, MA 02115.

Dr. Veereman: University Hospital of Leuven, B-3000 Leuven, Belgium.

Dr. McGuire: Internal Medicine Specialists Medical Group, Inc., 400 W. Central Avenue, Suite 206, Brea, CA 92621.

Dr. Thaler: Department of Pediatrics, Division of Gastroenterology and Nutrition, Room M-680, University of California, San Francisco, CA 94143.

Ann Intern Med. 1992;117(10):837-838. doi:10.7326/0003-4819-117-10-837
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This excerpt has been provided in the absence of an abstract.

Hepatitis B virus (HBV) infection is common among persons with human immunodeficiency virus (HIV) infection (1-4). Hepatitis B virus DNA is found in lymphoid cells of patients co-infected with HBV and HIV (5), and studies in cultured cells co-infected or transfected with HIV and HBV DNA indicate that the HBV X gene product enhances HIV gene expression (6, 7). These findings suggest that infection with HBV may accelerate progression of HIV-related disease, but limited clinical information is available. Therefore, we retrospectively analyzed sera from 511 HIV-infected patients for evidence of hepatitis B, in order to examine the relationship between serologic


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