Achem S R, Kolts B E, Grisnik J, MacMath T, Monteiro C B, Goldstein J
Department of Medicine, University of Florida, Jacksonville.
J Clin Gastroenterol. 1992 Jan;14(1):72-7. doi: 10.1097/00004836-199201000-00018.
We describe a 40-year-old black North American woman with isolated hepatic tuberculosis and an incidentally elevated alkaline phosphatase. Imaging studies of the liver showed a lesion suggesting primary or metastatic disease, which turned out to be the so-called pseudotumoral form of hepatic tuberculosis. We believe this is the first case recorded in the English language literature of isolated hepatic tuberculosis manifesting first as an incidentally elevated alkaline phosphatase. It seems to be the third documented case in the English literature of a patient with this rare form of tuberculous involvement without systemic manifestations. The patient responded to antituberculous therapy and is healthy 4 years after treatment.
我们描述了一位40岁的北美黑人女性，患有孤立性肝结核，且碱性磷酸酶偶然升高。肝脏影像学检查显示有一个病变，提示原发性或转移性疾病，结果发现是肝结核的所谓假瘤型。我们认为这是英文文献中记录的首例以碱性磷酸酶偶然升高为首发表现的孤立性肝结核病例。这似乎是英文文献中第三例记录的患有这种罕见结核累及形式且无全身表现的患者。患者对抗结核治疗有反应，治疗4年后身体健康。
