El Younis Cherif M, Bergasa Nora V
Dr. El Younis serves as Chief of the Division of Gastroenterology at Brookdale University Hospital and Clinical Associate Professor of Medicine at State University of New York (SUNY) Downstate Medical Center in Brooklyn, New York. Dr. Bergasa serves as Deputy Chief of Medicine at Woodhull Medical & Mental Health Center in Brooklyn, New York, and Professor of Medicine at SUNY Downstate.
Gastroenterol Hepatol (N Y). 2008 Mar;4(3):211-4.
The occurrence of leg ulcers in patients with cirrhosis is not well documented in the literature. In this case series, we describe 4 patients with cirrhosis complicated by leg ulceration that failed all conventional therapy, yet healed completely following the placement of transjugular intrahepatic portosystemic shunt. The course of disease and the possibility of a hepatodermal syndrome underlying this observation are discussed.
肝硬化患者腿部溃疡的发生在文献中记载并不充分。在本病例系列中,我们描述了4例肝硬化合并腿部溃疡的患者,这些患者的溃疡在接受所有常规治疗后均未愈合,但在经颈静脉肝内门体分流术置入后完全愈合。本文讨论了疾病的进程以及这一观察结果背后存在肝皮肤综合征的可能性。