Table 5

Treatment of HCV associated mixed cryoglobulinaemia

Proposed treatments
*α Interferon + ribavirin.
NHL, non-Hodgkin's lymphoma; HCC, hepatocellular carcinoma; HCV, hepatitis C virus; LAC, low antigen content.
Asymptomatic None Embedded Image
Mild–moderate manifestations
Purpura, weakness,Low dose steroids
arthralgias, arthritis,and/or LAC diet,
peripheral sensory neuropathyother symptomatics
Attempt at HCV eradication*
Severe manifestations
Nephropathy, skin ulcers,Steroids,
sensory motor neuropathy,and/or plasma exchange,
widespread vasculitisand/or cyclophosphamide
Active hepatitisα Interferon + ribavirin
Cancer
B cell NHL, HCCChemotherapy, surgery