Chopra S, Edelstein A, Koff R S, Zimelman A P, Lacson A, Neiman R S
JAMA. 1978 Sep 8;240(11):1153-5.
Two patients with hematologic disease, one of whom had received androgenic steroids, had liver damage associated with peliosis hepatis. In one patient with spherocytic hemolytic anemia, peliosis hepatis was an incidental postmortem finding. In the other patient, who was treated with androgenic-anabolic steroids for aplastic anemia, hepatic failure associated with peliosis hepatis developed. Splenic involvement by peliosis was present in both patients. Peliosis hepatis should be considered in the differential diagnosis of hepatic disease in patients with hematologic disorders, especially if treatment has included androgenic-anabolic steroids.
两名血液病患者，其中一名曾接受雄激素类甾体治疗，出现与肝紫癜相关的肝损伤。在一名球形红细胞溶血性贫血患者中，肝紫癜是尸检时偶然发现的。另一名因再生障碍性贫血接受雄激素 - 合成代谢类甾体治疗的患者，发生了与肝紫癜相关的肝衰竭。两名患者均有脾脏受累于紫癜的情况。对于血液系统疾病患者的肝病鉴别诊断，应考虑肝紫癜，尤其是在治疗中使用过雄激素 - 合成代谢类甾体的情况下。
