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[获得性免疫缺陷综合征的肝脏受累情况。20例病例研究]

[Hepatic involvement in the acquired immunodeficiency syndrome. Study of 20 cases].

作者信息

Devars du Mayne J F, Marche C, Penalba C, Vittecoq D, Saimot G, Cerf M

出版信息

Presse Med. 1985 May 25;14(21):1177-80.

PMID:3158990
Abstract

Liver biopsies were systematically performed in 20 patients with evidence of an acquired immunodeficiency syndrome (18 with opportunistic infections, 9 with Kaposi's sarcoma). Hepatitis, related to hepatitis-B virus in 3 cases and to cytomegalovirus in 3 cases, was present in 6 of them. All patients had at least one of the three following lesions: non-specific portal inflammatory infiltration (6 cases), granulomatous lesions (12 cases), vascular abnormalities (12 cases). Among hepatic granulomatous lesions: 3 were due to acid-fast bacilli and 1 to Cryptococcus. Sinusoidal abnormality included proliferation of Küpffer cells (9 cases), sinusoidal dilatation (2 cases), peliosis (4 cases) and Kaposi's sarcoma (1 case). A relationship between these abnormalities cannot be excluded.

摘要

对20例有获得性免疫缺陷综合征证据的患者进行了系统性肝活检(18例有机会性感染,9例有卡波西肉瘤)。其中6例存在肝炎,3例与乙型肝炎病毒相关,3例与巨细胞病毒相关。所有患者至少有以下三种病变中的一种:非特异性门静脉炎性浸润(6例)、肉芽肿性病变(12例)、血管异常(12例)。在肝脏肉芽肿性病变中:3例由抗酸杆菌引起,1例由隐球菌引起。窦状隙异常包括库普弗细胞增殖(9例)、窦状隙扩张(2例)、血囊肿(4例)和卡波西肉瘤(1例)。不能排除这些异常之间存在关联。

相似文献

1
[Hepatic involvement in the acquired immunodeficiency syndrome. Study of 20 cases].[获得性免疫缺陷综合征的肝脏受累情况。20例病例研究]
Presse Med. 1985 May 25;14(21):1177-80.
2
[Hepatic involvement in AIDS. A retrospective clinical study in 71 patients].[艾滋病患者的肝脏受累情况。对71例患者的回顾性临床研究]
Ann Med Interne (Paris). 1990;141(5):459-63.
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Surgical pathology of the liver in HIV infection.
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Hepatic histopathology in the acquired immunodeficiency syndrome.
Semin Liver Dis. 1992 May;12(2):205-12. doi: 10.1055/s-2007-1007392.
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Peliosis hepatis and sinusoidal dilation during infection by the human immunodeficiency virus (HIV). An ultrastructural study.人类免疫缺陷病毒(HIV)感染期间的肝紫癜和肝血窦扩张。一项超微结构研究。
Am J Pathol. 1988 Apr;131(1):38-47.
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Peliosis hepatis in the acquired immunodeficiency syndrome.获得性免疫缺陷综合征中的肝紫癜病。
Arch Pathol Lab Med. 1986 Jul;110(7):611-3.
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Hepatic disease in patients with the acquired immune deficiency syndrome (AIDS).获得性免疫缺陷综合征(艾滋病)患者的肝脏疾病
Hepatology. 1987 Sep-Oct;7(5):925-30. doi: 10.1002/hep.1840070522.
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引用本文的文献

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Tuberculosis of the Liver, Biliary Tract, and Pancreas.肝脏、胆道和胰腺结核。
Microbiol Spectr. 2017 Jan;5(1). doi: 10.1128/microbiolspec.TNMI7-0025-2016.
2
Cholangitis in the acquired immunodeficiency syndrome: report of two cases and review of the literature.获得性免疫缺陷综合征中的胆管炎:两例报告并文献复习。
Gut. 1987 Dec;28(12):1653-60. doi: 10.1136/gut.28.12.1653.
3
Hepatosplenic AIDS-related Kaposi's sarcoma.
Gastrointest Radiol. 1991 Fall;16(4):342-4. doi: 10.1007/BF01887385.