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慢性维生素A中毒所致无肝硬化的门静脉高压症

[Portal hypertension without liver cirrhosis in chronic vitamin A intoxication].

作者信息

Kistler H J, Plüer S, Dickenmann W, Pirozynski W

出版信息

Schweiz Med Wochenschr. 1977 Jun 18;107(24):825-32.

PMID:267312
Abstract

The ysmptoms and findings in a patient after prolonged intake of excessive amounts of vitamin A for treatment of psoriasis are presentd. All the characteristic signs of chronic intoxication were reversible after withdrawal of the medication. Initially portal hypertension could be demonstrated, although histologically there was no cirrhosis of the liver. During the period of observation the disturbed liver function returned to normal and the signs of portal hypertension disappeared completely. Reversibility of portal hypertension is a unusual observation and is discussed in relation to similar situations in toxic liver disease.

摘要

本文呈现了一名患者因长期过量摄入维生素A治疗银屑病后的症状和检查结果。停药后,所有慢性中毒的特征性体征均可逆。最初可证实存在门静脉高压,尽管组织学检查未发现肝硬化。在观察期间,肝功能紊乱恢复正常,门静脉高压体征完全消失。门静脉高压的可逆性是一项不寻常的观察结果,并结合中毒性肝病的类似情况进行了讨论。

相似文献

1
[Portal hypertension without liver cirrhosis in chronic vitamin A intoxication].慢性维生素A中毒所致无肝硬化的门静脉高压症
Schweiz Med Wochenschr. 1977 Jun 18;107(24):825-32.
2
[Small-nodular liver cirrhosis with marked portal hypertension due to vitamin A intoxication resulting from psoriasis treatment (author's transl)].因银屑病治疗导致维生素A中毒引起的伴有明显门静脉高压的小结节性肝硬化(作者译)
Dtsch Med Wochenschr. 1977 Nov 11;102(45):1637-40. doi: 10.1055/s-0028-1105550.
3
Chronic vitamin A intoxication. Portal hypertension without hepatic cirrhosis in a patient with chronic vitamin A intoxication.慢性维生素A中毒。一名慢性维生素A中毒患者出现无肝硬化的门静脉高压。
Dan Med Bull. 1983 Feb;30(1):51-2.
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Hepatic hyper-vitaminosis A: importance of retinyl ester level determination.
Eur J Gastroenterol Hepatol. 2000 Mar;12(3):361-4.
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[Hepatic fibrosis and portal hypertension in chronic vitamin A poisoning].
Gastroenterol Clin Biol. 1984 Feb;8(2):121-5.
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Hepatic injury from chronic hypervitaminosis a resulting in portal hypertension and ascites.慢性维生素A过多症导致的肝损伤,进而引起门静脉高压和腹水。
N Engl J Med. 1974 Aug 29;291(9):435-40. doi: 10.1056/NEJM197408292910903.
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Arsenic and noncirrhotic portal hypertension.砷与非肝硬化性门静脉高压症
Gastroenterology. 1974 Jan;66(1):86-94.
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[Portal hypertension and chronic arsenic exposure. A differential diagnostic challenge].
Wien Med Wochenschr. 1989 Dec 31;139(24):580-4.
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[Liver transplantation and splenectomy in idiopathic portal hypertension].[特发性门静脉高压症的肝移植与脾切除术]
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New aspects of the tolerance of retinol in humans.
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引用本文的文献

1
Liver damage with reversible portal hypertension from vitamin A intoxication: demonstration of Ito cells.维生素A中毒所致伴有可逆性门静脉高压的肝损伤:贮脂细胞的表现
J Clin Pathol. 1983 Jul;36(7):769-71. doi: 10.1136/jcp.36.7.769.