Aggarwal P, Wali J P, Chopra P
Department of Medicine, All India Institute of Medical Sciences, New Delhi.
Indian J Gastroenterol. 1990 Apr;9(2):135-6.
Sixty patients with kala-azar were studied for liver involvement. Clinically none had any evidence of chronic liver disease. Biochemical evidence of hepatitis was seen in about 25% of cases while radiological and radionuclide studies failed to reveal portal hypertension and/or cirrhosis of liver in any of the patients. Histopathology of the liver in 18 patients failed to reveal any evidence of chronic liver disease or cirrhosis. It is suggested that portal hypertension and cirrhosis of liver probably do not occur as a consequence of kala-azar.
对60例黑热病患者进行了肝脏受累情况的研究。临床上,无一例有慢性肝病的证据。约25%的病例有肝炎的生化证据,而放射学和放射性核素研究未能在任何患者中发现门静脉高压和/或肝硬化。18例患者肝脏的组织病理学检查未发现任何慢性肝病或肝硬化的证据。提示门静脉高压和肝硬化可能不是黑热病的后果。