Hofmaenner Daniel, Kovari Helen, Weber Achim, Weishaupt Dominik, Speck Roberto F
Medical School, University of Zurich, Zurich, Switzerland.
BMJ Case Rep. 2011 May 3;2011:bcr0320113928. doi: 10.1136/bcr.03.2011.3928.
The authors describe an HIV-positive patient with nodular regenerative hyperplasia of the liver with non-cirrhotic portal hypertension. Despite stopping the culprit drug, didanosine, the radiologic changes persisted for years. When evaluating liver pathologies, antiretroviral drugs must be included in the differential diagnosis, even when they have been stopped years ago.
作者描述了一名HIV阳性患者,患有肝脏结节性再生性增生伴非肝硬化性门静脉高压症。尽管停用了致病药物去羟肌苷,但影像学改变持续了数年。在评估肝脏病变时,抗逆转录病毒药物必须纳入鉴别诊断,即使它们在数年前就已停用。