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其他类型弥漫性肝病:有办法吗?

Other types of diffuse liver disease: is there a way to do it?

机构信息

Department of Radiology, University of Sao Paulo, Sao Paulo, Brazil.

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Dr. Ovídio Pires de Campos, 255, Cerqueira César, São Paulo, SP, 05403-000, Brazil.

出版信息

Abdom Radiol (NY). 2020 Nov;45(11):3425-3443. doi: 10.1007/s00261-020-02530-6.

Abstract

There are a variety of less common diffuse liver diseases that can be asymptomatic or cause severe liver dysfunction. For the majority of them, the association of clinical, laboratory, and imaging findings are needed to narrow the differential diagnosis. In this article, we will review and describe the rarer diffuse liver diseases including drug-related liver disease, inflammatory and infectious diseases, and deposition disorders such as amyloidosis, glycogen storage disease, Wilson's disease, and alpha-1 antitrypsin deficiency. Abdominal radiologists should be familiar with the imaging features of different types of diffuse liver diseases to help the multidisciplinary team involved in the treatment of these patients. The data related to some of these conditions are scarce and sometimes experimental, but we want to demonstrate to the reader the value of imaging techniques in their analysis and introduce the potential of new imaging methods.

摘要

有许多不常见的弥漫性肝脏疾病,这些疾病可能无症状,也可能导致严重的肝功能障碍。对于大多数弥漫性肝脏疾病,需要结合临床、实验室和影像学检查结果来缩小鉴别诊断范围。在本文中,我们将回顾和描述更罕见的弥漫性肝脏疾病,包括药物相关性肝损伤、炎症和感染性疾病,以及沉积性疾病,如淀粉样变性、糖原贮积病、Wilson 病和α-1 抗胰蛋白酶缺乏症。腹部放射科医生应熟悉不同类型弥漫性肝脏疾病的影像学特征,以帮助治疗这些患者的多学科团队。与某些疾病相关的数据很少,有时甚至是实验性的,但我们希望向读者展示影像学技术在分析中的价值,并介绍新的成像方法的潜力。

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