Original Article

IJMDC. 2020; 4(2): 313-317

Alpha-fetoprotein as a predictor of liver fibrosis: a single center tertiary care study in Saudi Arabia

Authors: Ali Al Ahmari, Ibrahim Masoodi, Abdulmalik Almalki, Oqab Muidh Almalki, Mohammed Mofareh Alsubaie, Saleh Aedh Alshamrani.

ABSTRACT

Background: The quest for noninvasive biomarkers for fibrosis continues, as liver biopsy is invasive. Thereby, this study aimed to correlate fibrosis score with Alpha fetoprotein (AFP) levels in patients with Hepatitis B virus (HBV). Methodology: This was an observational prospective study, including 123 patients from Al-Hada Military Hospital, Taif, Saudi Arabia. Patients were enrolled from January 2017 to July 2019. Data were collected related to patients' demographics, diagnosis, HBV viral load, complete blood count, liver function tests, AFP levels, and alkaline phosphatase levels. Fibro scan was done at the beginning and on follow up. The correlation between AFP levels and severity of liver fibrosis was assessed by fibro scan and viral load levels. Results: Of the total 123 participants included in this study with chronic hepatitis B, there was a significant difference in AFP levels and fibrosis score (p-value = 0.009). Additionally, there was a significant difference (p-value = 0.014) detected between median AFP being higher in patients with positive viral load as compared to the patients with negative viral load. It was also observed that there was a significant direct relationship (p-value = 0.016) between the level of AFP and stage detected on the fibro scan. Conclusion: AFP could be a useful tool for the staging of liver fibrosis and evaluating response to the treatment. Further studies may confirm the co relation.

Keywords:
Alpha-fetoprotein, liver fibrosis, Hepatitis B virus, fibrosis score, viral load


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Alpha-fetoprotein as a predictor of liver fibrosis: a single center tertiary care study in Saudi Arabia


Authors
Ali Al Ahmari
Al-Hada Military Hospital, Taif, Saudi Arabia
PubMed articlesGoogle scholar articles

Ibrahim Masoodi
College of Medicine, Taif University, Taif, Saudi Arabia
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Abdulmalik Almalki
College of Medicine, Taif University, Taif, Saudi Arabia
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Oqab Muidh Almalki
College of Medicine, Taif University, Taif, Saudi Arabia
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Mohammed Mofareh Alsubaie
College of Medicine, Taif University, Taif, Saudi Arabia
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Saleh Aedh Alshamrani
College of Medicine, Taif University, Taif, Saudi Arabia
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Correspondence to:
. Ibrahim Masoodi, College of Medicine, Taif University, Taif, Saudi Arabia.; ibrahimmasoodi@yahoo.co.in

Publication history
Received 12 Nov 2019
Accepted 20 Dec 2019
Published online 16 Jan 2020

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Pubmed Style

Ahmari AA, Masoodi I, Almalki A, Almalki OM, Alsubaie MM, Alshamrani SA. Alpha-fetoprotein as a predictor of liver fibrosis: a single center tertiary care study in Saudi Arabia. IJMDC. 2020; 4(2): 313-317. doi:10.24911/IJMDC.51-1573570950


Web Style

Ahmari AA, Masoodi I, Almalki A, Almalki OM, Alsubaie MM, Alshamrani SA. Alpha-fetoprotein as a predictor of liver fibrosis: a single center tertiary care study in Saudi Arabia. http://www.ijmdc.com/?mno=73548 [Access: August 06, 2020]. doi:10.24911/IJMDC.51-1573570950


AMA (American Medical Association) Style

Ahmari AA, Masoodi I, Almalki A, Almalki OM, Alsubaie MM, Alshamrani SA. Alpha-fetoprotein as a predictor of liver fibrosis: a single center tertiary care study in Saudi Arabia. IJMDC. 2020; 4(2): 313-317. doi:10.24911/IJMDC.51-1573570950


Vancouver/ICMJE Style

Ahmari AA, Masoodi I, Almalki A, Almalki OM, Alsubaie MM, Alshamrani SA. Alpha-fetoprotein as a predictor of liver fibrosis: a single center tertiary care study in Saudi Arabia. IJMDC. (2020), [cited August 06, 2020]; 4(2): 313-317. doi:10.24911/IJMDC.51-1573570950


Harvard Style

Ahmari, A. A., Masoodi, . I., Almalki, . A., Almalki, . O. M., Alsubaie, . M. M. & Alshamrani, . S. A. (2020) Alpha-fetoprotein as a predictor of liver fibrosis: a single center tertiary care study in Saudi Arabia. IJMDC, 4 (2), 313-317. doi:10.24911/IJMDC.51-1573570950


Turabian Style

Ahmari, Ali Al, Ibrahim Masoodi, Abdulmalik Almalki, Oqab Muidh Almalki, Mohammed Mofareh Alsubaie, and Saleh Aedh Alshamrani. 2020. Alpha-fetoprotein as a predictor of liver fibrosis: a single center tertiary care study in Saudi Arabia. International Journal of Medicine in Developing Countries, 4 (2), 313-317. doi:10.24911/IJMDC.51-1573570950


Chicago Style

Ahmari, Ali Al, Ibrahim Masoodi, Abdulmalik Almalki, Oqab Muidh Almalki, Mohammed Mofareh Alsubaie, and Saleh Aedh Alshamrani. "Alpha-fetoprotein as a predictor of liver fibrosis: a single center tertiary care study in Saudi Arabia." International Journal of Medicine in Developing Countries 4 (2020), 313-317. doi:10.24911/IJMDC.51-1573570950


MLA (The Modern Language Association) Style

Ahmari, Ali Al, Ibrahim Masoodi, Abdulmalik Almalki, Oqab Muidh Almalki, Mohammed Mofareh Alsubaie, and Saleh Aedh Alshamrani. "Alpha-fetoprotein as a predictor of liver fibrosis: a single center tertiary care study in Saudi Arabia." International Journal of Medicine in Developing Countries 4.2 (2020), 313-317. Print. doi:10.24911/IJMDC.51-1573570950


APA (American Psychological Association) Style

Ahmari, A. A., Masoodi, . I., Almalki, . A., Almalki, . O. M., Alsubaie, . M. M. & Alshamrani, . S. A. (2020) Alpha-fetoprotein as a predictor of liver fibrosis: a single center tertiary care study in Saudi Arabia. International Journal of Medicine in Developing Countries, 4 (2), 313-317. doi:10.24911/IJMDC.51-1573570950


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