Shinohara Y, Hasegawa R, Ito N, Kanayama M, Kato T, Wada Y
Acta Pathol Jpn. 1979 Jul;29(4):615-22. doi: 10.1111/j.1440-1827.1979.tb00929.x.
A case of tyrosinemia in a three-month-old boy is presented. The patient appeared jaundiced initially with markedly elevated levels of serum tyrosine and a positive Millon-reacting urine. Jaundice persisted and hepatosplenomegaly gradually increased. He died due to liver failure on the 51st day after admission. At autopsy, the liver showed the features of severe giant cell hepatitis including giant cell formation, fibrosis and bile retention. The pancreas and the brain showed characteristic postmortem findings as previously reported in patients with tyrosinemia.
本文报告一例三个月大男婴的酪氨酸血症病例。患者最初出现黄疸,血清酪氨酸水平显著升高,尿米隆反应呈阳性。黄疸持续存在,肝脾肿大逐渐加重。入院第51天,患者因肝衰竭死亡。尸检时,肝脏呈现出严重巨细胞肝炎的特征,包括巨细胞形成、纤维化和胆汁潴留。胰腺和大脑呈现出酪氨酸血症患者先前报道的典型尸检结果。