Association between red cell distribution width and HBV viral load and liver function parameters in patients with chronic hepatitis B: a real-world data study - Takeaways - MDSpire

Association between red cell distribution width and HBV viral load and liver function parameters in patients with chronic hepatitis B: a real-world data study

  • By

  • Lei Zhang

  • Chunhua Fang

  • Liping Wang

  • Bin Ran

  • May 13, 2026

  • 0 min

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  • 1

    Red cell distribution width (RDW) is significantly elevated in patients with chronic hepatitis B (CHB) compared to healthy controls.

  • 2

    Higher RDW values correlate with increased HBV viral load and liver function indicators such as ALT and AST in CHB patients.

  • 3

    Patients in the immune-active stage of CHB exhibit significantly higher RDW levels than those in the immune-tolerant/inactive stage.

  • 4

    Multivariate analysis identifies high viral load and elevated ALT as independent factors associated with increased RDW in CHB.

  • 5

    The study suggests RDW may serve as a supplementary marker for evaluating disease activity in chronic hepatitis B.

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