Fibrosis Hepática congénita: un espectro clínico variable: Casos clínicos

Background: Congenital hepatic fibrosis (CHF) is an autosomic dominant disease that has been associated with polycystic kidney disease. Aim: To describe the medical management of 5 children with CHF and to evaluate the presence and extension of the associated renal disease. Patients and methods: Ret...

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Autores principales: Harris D,Paul, Fodor O,Daniel, Cavagnaro SM,Felipe, Egidio S,Marcia Di, Duarte G De C,Ignacio, Fava P,Mario
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2004
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000600010
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spelling oai:scielo:S0034-988720040006000102014-08-14Fibrosis Hepática congénita: un espectro clínico variable: Casos clínicosHarris D,PaulFodor O,DanielCavagnaro SM,FelipeEgidio S,Marcia DiDuarte G De C,IgnacioFava P,Mario Hypertension, portal Liver cirrhosis Polycystic kidney, antosomal dominant Portasystemic shunt, surgical Portasystemic shunt, transjugular intrahepatic Background: Congenital hepatic fibrosis (CHF) is an autosomic dominant disease that has been associated with polycystic kidney disease. Aim: To describe the medical management of 5 children with CHF and to evaluate the presence and extension of the associated renal disease. Patients and methods: Retrospective review of the medical charts of 5 children with CHF, aged 2 to 14 years. Results: Three children presented autosomic recessive polycystic kidney disease, which was diagnosed before the appearance of liver disease manifestations. They presented a more severe liver damage, with a more aggressive clinical course requiring use of transjugular intrahepatic porto-systemic shunts (TIPS) or surgical porto-systemic shunts to control portal hypertension. The other two children, in whom the diagnosed was based on asymptomatic hepatomegaly, had normal renal function and structure with a more benign clinical course. Conclusions: The diagnosis of CHF should be suspected not only in children with polycystic kidney disease but in those children with persistent, hard consistency, left lobe predominance hepatomegaly (Rev Méd Chile 2004; 132: 733-41)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.6 20042004-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000600010es10.4067/S0034-98872004000600010
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Hypertension, portal
Liver cirrhosis
Polycystic kidney, antosomal dominant
Portasystemic shunt, surgical
Portasystemic shunt, transjugular intrahepatic
spellingShingle Hypertension, portal
Liver cirrhosis
Polycystic kidney, antosomal dominant
Portasystemic shunt, surgical
Portasystemic shunt, transjugular intrahepatic
Harris D,Paul
Fodor O,Daniel
Cavagnaro SM,Felipe
Egidio S,Marcia Di
Duarte G De C,Ignacio
Fava P,Mario
Fibrosis Hepática congénita: un espectro clínico variable: Casos clínicos
description Background: Congenital hepatic fibrosis (CHF) is an autosomic dominant disease that has been associated with polycystic kidney disease. Aim: To describe the medical management of 5 children with CHF and to evaluate the presence and extension of the associated renal disease. Patients and methods: Retrospective review of the medical charts of 5 children with CHF, aged 2 to 14 years. Results: Three children presented autosomic recessive polycystic kidney disease, which was diagnosed before the appearance of liver disease manifestations. They presented a more severe liver damage, with a more aggressive clinical course requiring use of transjugular intrahepatic porto-systemic shunts (TIPS) or surgical porto-systemic shunts to control portal hypertension. The other two children, in whom the diagnosed was based on asymptomatic hepatomegaly, had normal renal function and structure with a more benign clinical course. Conclusions: The diagnosis of CHF should be suspected not only in children with polycystic kidney disease but in those children with persistent, hard consistency, left lobe predominance hepatomegaly (Rev Méd Chile 2004; 132: 733-41)
author Harris D,Paul
Fodor O,Daniel
Cavagnaro SM,Felipe
Egidio S,Marcia Di
Duarte G De C,Ignacio
Fava P,Mario
author_facet Harris D,Paul
Fodor O,Daniel
Cavagnaro SM,Felipe
Egidio S,Marcia Di
Duarte G De C,Ignacio
Fava P,Mario
author_sort Harris D,Paul
title Fibrosis Hepática congénita: un espectro clínico variable: Casos clínicos
title_short Fibrosis Hepática congénita: un espectro clínico variable: Casos clínicos
title_full Fibrosis Hepática congénita: un espectro clínico variable: Casos clínicos
title_fullStr Fibrosis Hepática congénita: un espectro clínico variable: Casos clínicos
title_full_unstemmed Fibrosis Hepática congénita: un espectro clínico variable: Casos clínicos
title_sort fibrosis hepática congénita: un espectro clínico variable: casos clínicos
publisher Sociedad Médica de Santiago
publishDate 2004
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000600010
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AT fodorodaniel fibrosishepaticacongenitaunespectroclinicovariablecasosclinicos
AT cavagnarosmfelipe fibrosishepaticacongenitaunespectroclinicovariablecasosclinicos
AT egidiosmarciadi fibrosishepaticacongenitaunespectroclinicovariablecasosclinicos
AT duartegdecignacio fibrosishepaticacongenitaunespectroclinicovariablecasosclinicos
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