Janowski Kamil, Goliszek Maria, Cielecka-Kuszyk Joanna, Jankowska Irena, Pawłowska Joanna
The Children's Memorial Health Institute, Warsaw, Poland.
Clin Exp Hepatol. 2017 Sep;3(3):176-179. doi: 10.5114/ceh.2017.70299. Epub 2017 Sep 25.
Congenital hepatic fibrosis (CHF) is a rare, autosomal recessive disorder, clinically characterized by hepatic fibrosis and portal hypertension. CHF results from ductal plate malformation (DPM) of the intrahepatic bile ducts. Four clinical forms can be observed: portal hypertensive, cholangitic, mixed and latent. CHF is one of the "fibropolycystic diseases" which also include several conditions with a variety of intrahepatic bile duct dilatation and associated periportal fibrosis such as Caroli disease, autosomal recessive and dominant polycystic kidney disease (ARPKD or ADPKD), Ivemark, Jeune, Joubert, Bardet-Biedl, Meckel-Gruber and Arima syndromes. Most of them are accompanied by progressive cystic degeneration of the kidneys. We present the case of a 9-year-old female patient with CHF with nonspecific clinical manifestation and a review of the literature.
先天性肝纤维化(CHF)是一种罕见的常染色体隐性疾病,临床特征为肝纤维化和门静脉高压。CHF由肝内胆管的导管板畸形(DPM)引起。可观察到四种临床类型:门静脉高压型、胆管炎型、混合型和潜伏型。CHF是“纤维多囊性疾病”之一,这类疾病还包括多种伴有肝内胆管扩张及相关门静脉周围纤维化的病症,如卡罗里病、常染色体隐性和显性多囊肾病(ARPKD或ADPKD)、伊韦马克综合征、热纳综合征、朱伯特综合征、巴德-比德尔综合征、梅克尔-格鲁伯综合征和有马综合征。它们大多数伴有肾脏进行性囊性退变。我们报告一例9岁女性CHF患者,其临床表现不具有特异性,并对相关文献进行综述。