Santos Gil I, Jaras Hernández M J, Sánchez Moliní P, García Monzón C, del Arco Galán C
Servicio de Medicine Interna-Infecciosas, Hospital de la Princesa, Madrid.
Rev Clin Esp. 1993 Jul;193(3):115-8.
Human immunodeficiency virus (HIV)-related liver disease is frequently diagnosed. We report a study about 100 liver biopsy samples (LB) in patients with HIV infection. The aim of the study has been to analyze the liver biopsy yield when a systemic disease (group A) or a chronic liver disease (group B) are suspected. Tuberculosis, all of them disseminated, was the most common finding in group A biopsy samples, and a 81% yield was obtained. Chronic active hepatitis was the most common finding group B, and profitability reached 90%. We conclude that LB is the elective method to diagnose systemic disease, in patients previously selected according to their clinical findings, and that final diagnoses and safe.
人类免疫缺陷病毒（HIV）相关肝病的诊断屡见不鲜。我们报告了一项针对100例HIV感染患者肝活检样本（LB）的研究。该研究的目的是分析在怀疑患有全身性疾病（A组）或慢性肝病（B组）时肝活检的阳性率。在A组活检样本中，最常见的发现是均为播散性的结核病，阳性率为81%。慢性活动性肝炎是B组最常见的发现，阳性率达90%。我们得出结论，对于根据临床症状预先筛选的患者，肝活检是诊断全身性疾病的首选方法，且最终诊断准确且安全。
