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以消失性胆管综合征相关黄疸为首发表现的霍奇金淋巴瘤

Vanishing bile duct syndrome-related jaundice as the first presentation of Hodgkin lymphoma.

作者信息

Mellat-Ardakani Milad, Salahshour Faeze, Rafsanjani Katayoun, Avanaki Foroogh Alborzi, Azizi Maryam

机构信息

Department of Radiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital Complex, Tehran University of Medical Sciences(TUMS), Tehran, Iran.

出版信息

Radiol Case Rep. 2023 Jul 11;18(9):3291-3294. doi: 10.1016/j.radcr.2023.06.051. eCollection 2023 Sep.

DOI:10.1016/j.radcr.2023.06.051
PMID:37483375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10362112/
Abstract

Vanishing bile duct syndrome is a rare, acquired disease that has been described in different pathologic conditions' including adverse drug reactions, autoimmune diseases, graft vs host disease, and neoplasms. It is a condition characterized by progressive loss of intrahepatic bile ducts leading to ductopenia and cholestasis. Here we report a 27-year-old female who presented with jaundice and cholestatic hepatitis and was finally diagnosed with vanishing Bile duct syndrome secondary to Hodgkin lymphoma. Physicians need to consider a range of differential diagnoses, especially malignancies, in suspected cases of vanishing bile duct syndrome.

摘要

消失胆管综合征是一种罕见的后天性疾病,已在不同病理状况下被描述,包括药物不良反应、自身免疫性疾病、移植物抗宿主病和肿瘤。它是一种以肝内胆管进行性丧失导致胆管减少和胆汁淤积为特征的病症。在此,我们报告一名27岁女性,她出现黄疸和胆汁淤积性肝炎,最终被诊断为继发于霍奇金淋巴瘤的消失胆管综合征。对于疑似消失胆管综合征的病例,医生需要考虑一系列鉴别诊断,尤其是恶性肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6a9/10362112/d1c22a41b666/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6a9/10362112/ec16cba25f32/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6a9/10362112/edd764ed998a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6a9/10362112/d1c22a41b666/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6a9/10362112/ec16cba25f32/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6a9/10362112/edd764ed998a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6a9/10362112/d1c22a41b666/gr3.jpg

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本文引用的文献

1
Case report: Development of vanishing bile duct syndrome in Stevens-Johnson syndrome complicated by hemophagocytic lymphohistiocytosis.病例报告:史蒂文斯-约翰逊综合征合并噬血细胞性淋巴组织细胞增生症时出现的消失性胆管综合征
Front Med (Lausanne). 2022 Oct 24;9:975754. doi: 10.3389/fmed.2022.975754. eCollection 2022.
2
Atypical primary biliary cholangitis results in vanishing bile duct syndrome with cutaneous xanthomas: a case report.非典型原发性胆汁性胆管炎导致伴有皮肤黄色瘤的胆管消失综合征:病例报告。
Diagn Pathol. 2022 Jul 4;17(1):57. doi: 10.1186/s13000-022-01228-1.
3
Vanishing Bile Duct Syndrome Preceding the Diagnosis of Hodgkin Lymphoma.
霍奇金淋巴瘤诊断前的胆管消失综合征
ACG Case Rep J. 2020 Mar 2;7(2):e00336. doi: 10.14309/crj.0000000000000336. eCollection 2020 Feb.
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Vanishing bile duct syndrome in Hodgkin's lymphoma: A case report and literature review.霍奇金淋巴瘤中的胆管消失综合征:一例报告及文献复习
World J Gastroenterol. 2017 Jan 14;23(2):366-372. doi: 10.3748/wjg.v23.i2.366.
5
Vanishing bile duct syndrome in a Hodgkin's lymphoma patient with fatal outcome despite lymphoma remission.霍奇金淋巴瘤患者发生消失性胆管综合征,尽管淋巴瘤缓解但仍导致死亡。
Saudi J Gastroenterol. 2013 Nov-Dec;19(6):286-9. doi: 10.4103/1319-3767.121037.
6
Hodgkin's lymphoma-related vanishing bile duct syndrome: a case report and literature review.霍奇金淋巴瘤相关的消失性胆管综合征:病例报告及文献复习。
Kaohsiung J Med Sci. 2013 Nov;29(11):636-41. doi: 10.1016/j.kjms.2013.05.002. Epub 2013 Aug 9.
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Vanishing bile duct syndrome and Hodgkin disease: a case series and review of the literature.消失性胆管综合征与霍奇金病:病例系列及文献综述
J Pediatr Hematol Oncol. 2008 Dec;30(12):976-80. doi: 10.1097/MPH.0b013e31818b37c4.
8
Hodgkin lymphoma-related vanishing bile duct syndrome and idiopathic cholestasis: statistical analysis of all published cases and literature review.霍奇金淋巴瘤相关的胆管消失综合征和特发性胆汁淤积:所有已发表病例的统计分析及文献综述
Acta Oncol. 2008;47(5):962-70. doi: 10.1080/02841860701644078.
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Vanishing bile duct syndrome in Hodgkin's disease: case report.霍奇金病中的胆管消失综合征:病例报告
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