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肝包膜下脂肪变性:高剂量胰岛素治疗的一种罕见并发症。

Hepatic subcapsular steatosis: a rare complication of high dose insulin therapy.

作者信息

Choh Naseer Ahmad

机构信息

Sheri Kahmir Institute of Medical Sciences, Radiodiagnosis; E12, Cooperative Colony, Srinagar, Jammu Kashmir 190014, India.

出版信息

J Pediatr Endocrinol Metab. 2012;25(11-12):1201-4. doi: 10.1515/jpem-2012-0179.

DOI:10.1515/jpem-2012-0179
PMID:23329772
Abstract

Hepatic subcapsular steatosis is a rare pattern of fatty infiltration of the liver exclusively described in diabetic patients undergoing peritoneal dialysis who had received insulin in peritoneal dialysate. We describe a first case of severe subcapsular hepatic steatosis in a young diabetic patient on high dose insulin therapy (with striking subcapsular fatty infiltration of the liver documented by CT and MRI) without any evidence of chronic renal disease and not undergoing peritoneal dialysis.

摘要

肝包膜下脂肪变性是一种罕见的肝脏脂肪浸润模式,仅在接受腹膜内胰岛素治疗的糖尿病腹膜透析患者中被描述。我们报告了首例严重肝包膜下脂肪变性的年轻糖尿病患者,该患者接受高剂量胰岛素治疗(CT和MRI显示肝脏有明显的包膜下脂肪浸润),无任何慢性肾病证据且未接受腹膜透析。

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[Subcapsular fatty infiltration of the liver in peritoneal dialysis patients treated with intraperitoneal insulin: US and CT features (case report)].[接受腹腔内胰岛素治疗的腹膜透析患者肝脏包膜下脂肪浸润:超声和CT特征(病例报告)]
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引用本文的文献

1
Rare presentation of subcapsular hepatic steatosis in a woman with uncontrolled diabetes without peritoneal dialysis: a case report.一名未接受腹膜透析的糖尿病控制不佳女性出现罕见的肝包膜下脂肪变性:病例报告
J Med Case Rep. 2016 Dec 20;10(1):370. doi: 10.1186/s13256-016-1152-8.