Schedel H, Wicht L, Rögler G, Langer R, Felix R
Strahlenklinik und Poliklinik, Universitätsklinikum Rudolf Virchow, Freie Universität Berlin.
Aktuelle Radiol. 1994 Jul;4(4):188-91.
CT examinations of the liver in HIV-infected patients show more frequent pathological findings. The extended spectrum of differential diagnosis and atypical manifestations of disorders in immunodeficient patients needs to be considered in the interpretation of CT scans. Difficulties in the differential diagnosis of focal hepatic lesions in HIV-infected patients are demonstrated in the following. Besides the relatively common findings in HIV-infection such as hepato-or hepatosplenomegalia, lymphoma, and inflammatory changes of the bowel an infection with Cryptococcus neoformans, hepatitis, and local steatosis of the liver are discussed as the rare causes for suspect computertomographic findings in the live of HIV-infected patients. The examinations were obtained consecutively in 76 HIV-infected patients during abdominal CT staging.
对HIV感染患者的肝脏进行CT检查显示出更频繁的病理结果。在解读CT扫描时，需要考虑免疫缺陷患者鉴别诊断范围的扩大和疾病的非典型表现。以下展示了HIV感染患者局灶性肝病变鉴别诊断的困难。除了HIV感染中相对常见的表现，如肝肿大或肝脾肿大、淋巴瘤以及肠道的炎症变化外，还讨论了新型隐球菌感染、肝炎和肝脏局部脂肪变性，这些是HIV感染患者肝脏出现可疑计算机断层扫描结果的罕见原因。在76例HIV感染患者进行腹部CT分期时连续进行了检查。
