Marangiello R, Giorgetti R
Unità Operativa di Pediatria, Presidio Ospedaliero di Tradate, Varese.
Minerva Pediatr. 1996 Jun;48(6):279-81.
We are reporting a case of a diabetic girl in whom we found a hepatomegaly never noticed before. Liver function is compromised; liver ultrasound confirmed hepatomegaly; liver biopsy pointed out a picture compatible with glycogenosis. This situation was due to a hyperdosage of insulin because the patient assumed an excessive quantity of food, caused by psycho-affective disorders and therefore took an excessive quantity of insulin. Other conditions of hepatomegaly are to be considered in the process of insulin dependent diabetes.
我们报告了一例糖尿病女孩的病例,在该病例中我们发现了此前从未注意到的肝肿大。肝功能受损;肝脏超声证实了肝肿大;肝脏活检显示出与糖原贮积症相符的情况。这种情况是由于胰岛素过量所致,因为患者因精神情感障碍摄入了过量食物,进而注射了过量胰岛素。在胰岛素依赖型糖尿病的病程中还应考虑其他导致肝肿大的情况。