Clinical aspects of hepatosplenic schistosomiasis: a contrast with cirrhosis.
نویسنده
چکیده
The clinical picture of liver disease in endemic areas of Schistosomiasis mansoni differs in many ways from that observed in alcoholic and other types of cirrhosis. In hepatosplenic schistosomiasis there is predominance of the clinical manifestations of portal hypertension, e.g., bleeding esophageal varices, while ascites, jaundice, and hepatic precoma or coma are much less common. Ammonia tolerance is usually normal and helps explain the low mortality rate during bleeding. Of special interest is the observation of a high incidence of persistent hepatitis B surface antigenemia among patients with hepatosplenic schistosomiasis, suggesting increased susceptibility of such patients to the development of virus-induced chronic active hepatitis.
منابع مشابه
Hepatosplenic schistosomiasis: a clinical review
Hepatosplenic schistosomiasis refers to the major complication of chronic infection with Schistosoma mansoni, S japonicum and S mekongi, schistosomal portal hypertension. Hepatosplenic schistosomiasis is usually, but not invariably, associated with enlargement of the liver and spleen, and reversible hepatosplenomegaly may occur in early infections not complicated by the development of portal hy...
متن کاملHepatosplenic schistosomiasis: a clinical review
Hepatosplenic schistosomiasis refers to the major complication of chronic infection with Schistosoma mansoni, S japonicum and S mekongi, schistosomal portal hypertension. Hepatosplenic schistosomiasis is usually, but not invariably, associated with enlargement of the liver and spleen, and reversible hepatosplenomegaly may occur in early infections not complicated by the development of portal hy...
متن کاملHepatosplenic schistosomiasis: a clinical review
Hepatosplenic schistosomiasis refers to the major complication of chronic infection with Schistosoma mansoni, S japonicum and S mekongi, schistosomal portal hypertension. Hepatosplenic schistosomiasis is usually, but not invariably, associated with enlargement of the liver and spleen, and reversible hepatosplenomegaly may occur in early infections not complicated by the development of portal hy...
متن کاملEditorial: Hepatosplenic schistosomiasis: a tropical noncirrhosis.
In his clinical vignette on schistosomiasis in this issue of The Yale Journal Dr. Gil-berto Reboucas shows us that the art of medicine is not yet dead. As he compares and contrasts schistosomiasis with cirrhosis, he opens our eyes to a number of fascinating and exciting aspects of schistosomiasis. More important, he exposes the myopic provincialism of some of our concepts of schistosomiasis as ...
متن کاملSchistosomiasis and hepatopulmonary syndrome: the role of concomitant liver cirrhosis
BACKGROUND Hepatopulmonary syndrome (HPS) is defined as an oxygenation defect induced by intrapulmonary vasodilation in patients with liver disease or portal hypertension. It is investigated in patients with liver cirrhosis and less frequently in those with portal hypertension without liver cirrhosis, as may occur in hepatosplenic schistosomiasis (HSS). OBJECTIVES To investigate the prevalenc...
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ورودعنوان ژورنال:
- The Yale Journal of Biology and Medicine
دوره 48 شماره
صفحات -
تاریخ انتشار 1975