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迟发性皮肤卟啉病潜在期的肝脏多发圆形病灶

[Multiple circular liver foci in latent porphyria cutanea tarda].

作者信息

Kersjes W, Harder T, Steudel A, Hartlapp J H

机构信息

Radiologische Klinik, Universität Bonn.

出版信息

Rofo. 1988 Feb;148(2):165-8. doi: 10.1055/s-2008-1048170.

Abstract

A 41-year-old patient with latent porphyria cutanea tarda is described; 8 years after mastectomy for carcinoma, sonography and CT showed multiple hepatic foci, which were at first interpreted as liver metastases. A liver biopsy was carried out during laparoscopy and u/v fluorescence and subsequent laboratory tests confirmed the diagnosis of porphyria cutanea tarda. Treatment with resochin produced almost complete resolution of the liver abnormalities within 9 months. Magnetic resonance tomography using proton-weighted SE sequences showed a few foci of high signal intensity.

摘要

本文描述了一名41岁的迟发性皮肤卟啉病患者;在因癌症行乳房切除术后8年,超声检查和CT显示肝脏有多个病灶,最初被认为是肝转移瘤。在腹腔镜检查期间进行了肝活检,紫外线荧光检查及随后的实验室检查确诊为迟发性皮肤卟啉病。使用雷琐辛治疗9个月内肝脏异常几乎完全消退。采用质子加权SE序列的磁共振断层扫描显示有几个高信号强度病灶。

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