在患有状细胞病的患者中,导致晚期肝纤维化的诱导因素
Konstantinos Manganas1, Sophia Delicou1, Aikaterini Xydaki1
1Thalassemia and Sickle Cell Unit, Hippokration General Hospital, Athens, Greece.
British journal of haematology
|July 13, 2023
概括
状细胞病 (SCD) 患者经常出现肝脏并发症. 晚期肝纤维化与年龄,男性性别,胆结石和较高的铁含量有关,这凸显了在SCD护理中需要主动监测肝脏的必要性.
科学领域:
- 血液学 血液学 血液学
- 肝病学 肝病学是一种肝病学.
- 遗传学 遗传学 是一个
背景情况:
- 状细胞疾病 (SCD) 是全球普遍存在的一种单源性疾病.
- 肝脏并发症是SCD患者发病率的重要来源.
研究的目的:
- 为了确定SCD患者慢性肝脏并发症的患病率.
- 确定该人群中晚期肝纤维化倾向因素.
主要方法:
- 研究了一组来自希腊八个中心的219名SCD患者.
- 收集的数据包括病史,实验室测试和肝脏成像.
- 在所有参与者中评估了晚期肝纤维化.
主要成果:
- 13.6%的SCD患者表现出晚期肝纤维化.
- 纤维化与年龄,男性性别,胆结石,LDH,γ-GT,INR和胆红素水平升高相关.
- 在纤维化患者中观察到输血治疗的增加,肝脏铁度的增加,肝脏危机的增加和胆固醇病发作.
结论:
- 肝脏并发症和肝硬化是SCD发病率的重要原因.
- 血管内血解和血管封闭现象是SCD肝病的主要驱动因素.
- 铁过载是SCD患者肝纤维化的一个次要因素.
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