Can Hepatitis C Virus (HCV) cause a gluteal mass?

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Last updated: March 17, 2025View editorial policy

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From the Guidelines

Hepatitis C virus (HCV) does not directly cause gluteal masses, and any such masses are more likely related to other conditions. The primary effects of HCV are on the liver, leading to inflammation, potential cirrhosis, or liver cancer over time 1. HCV can cause various extrahepatic manifestations, including cryoglobulinemic vasculitis, lymphoma, and neurologic, cardiovascular, endocrine-metabolic, or renal diseases 1. However, gluteal masses are not a characteristic manifestation of HCV infection.

Some possible causes of gluteal masses include:

  • Lipomas
  • Cysts
  • Abscesses
  • Hematomas
  • Tumors In individuals with HCV who inject drugs, gluteal abscesses might develop from injection practices, but this would be a complication of injection behavior rather than a direct effect of the virus itself 1.

For any unexplained gluteal mass, it is essential to consult a healthcare provider for proper evaluation, diagnosis, and treatment, regardless of HCV status. The evaluation would typically include a physical examination and possibly imaging studies or biopsy to determine the cause of the mass 1.

From the Research

Extrahepatic Manifestations of HCV

The relationship between Hepatitis C Virus (HCV) and the development of a gluteal mass is not directly addressed in the provided studies. However, the studies do discuss various extrahepatic manifestations of HCV, which can affect multiple organ systems and lead to a range of symptoms and conditions.

Possible Extrahepatic Manifestations

Some of the extrahepatic manifestations of HCV mentioned in the studies include:

  • Mixed cryoglobulinemia 2, 3, 4
  • Lymphoma 2, 3, 4
  • Metabolic features 2
  • Neurologic consequences 2
  • Porphyria cutanea tarda 3
  • Lichen planus 3
  • Necrolytic acral erythema 3
  • Glomerulonephritis 3, 5
  • Subclinical autoantibody formation 3
  • Immune thrombocytopenia 3
  • Thyroid disease 3
  • Sjögren's disease/sicca symptoms 3
  • Diabetes mellitus 3, 4
  • Ocular diseases 3
  • Musculoskeletal disorders 3
  • Cardiovascular diseases 3
  • Neurocognitive dysfunction 3
  • Leukocytoclastic vasculitis 3

Relevance to Gluteal Mass

While the studies do not specifically mention a gluteal mass as an extrahepatic manifestation of HCV, they do highlight the potential for HCV to cause a wide range of systemic symptoms and conditions. It is possible that a gluteal mass could be related to one of the extrahepatic manifestations of HCV, such as a musculoskeletal disorder or a lymphoma 3. However, without further information or direct evidence, it is not possible to confirm a link between HCV and the development of a gluteal mass.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Extrahepatic manifestations of HCV.

Minerva gastroenterologica e dietologica, 2015

Research

HCV Extrahepatic Manifestations.

Journal of clinical and translational hepatology, 2019

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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