超homocysteinemia:一个不寻常的Budd-Chiari综合征的原因
Sai Samhitha Mogalapu1, Swathika T M1, Keerthana P1
1Institute of Internal Medicine, Madras Medical College, Chennai, IND.
Cureus
|November 10, 2025
概括
布德-基亚里综合征 (BCS) 可能是由高血糖蛋白质血症引起的. 通过成像和实验室检测及时诊断对于及时干预和改善BCS患者的治疗结果至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 血管医学 血管医学
- 内部医学 内部医学
背景情况:
- 布德-基亚里综合征 (BCS) 是由肝静脉外流阻塞引起的.
- 临床表现不同,从无症状到急性肝衰竭.
研究的目的:
- 报告一种罕见的二次BCS病例,其原因是高homocysteinemia.
- 强调在BCS病因学中考虑高血糖蛋白质血症的重要性.
主要方法:
- 一个52岁的男性有酒精使用史的案例报告.
- 诊断工具包括体检,实验室测试,多普勒超声波和增强对比度的CT.
- 高凝血性工作集中在同类半氨酸水平上.
主要成果:
- 患者出现了黄,吐和黑色斑点.
- 图像检测证实了BCS与尾状叶缩和广泛的血栓形成.
- 较高的同类半氨酸水平确定了超同类半氨酸血症是原因.
结论:
- 超同胞蛋白血症是一种罕见但重要的BCS病因.
- 通过成像和实验室评估进行早期诊断至关重要.
- 抗凝固疗法改善了患者的治疗结果.
相关概念视频
Chronic Bowel Disorders: Introduction
736
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
736
Venous Thrombosis I: Introduction
334
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
334
Disorders of Hemostasis
2.0K
Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
2.0K
Esophageal Varices-I: Introduction
1.1K
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
1.1K
Esophageal Varices-II: Clinical Features and Management
355
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
355
Anticoagulant Drugs: Low-Molecular-Weight Heparins
1.6K
Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
1.6K


