Ultrasound findings in hepatitis.

Kurtz, A B; Rubin, CS; Cooper, HS; Nisenbaum, Harvey L.; Cole-Beuglet, C; Medoff, J; Goldberg, B. B.

doi:10.1148/radiology.136.3.7403553

Cited by 89 publications

(38 citation statements)

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“…Ultrasound interpretations were made according to published standardized criteria. [17][18][19][20][21][22][23][24] Hepatic cirrhosis was considered present when the liver had a coarse echo pattern with at least one of the following: nodularity of the surface, attenuation of hepatic veins, or enlargement of the caudate lobe. The spleen was considered enlarged if it was > 13 cm in length.…”

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confidence: 99%

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Role of hepatitis C infection in chronic liver disease in Egypt.

Strickland

Elhefni²,

Salman³

et al. 2002

The American Journal of Tropical Medicine and Hygiene

115

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Abstract. Hepatitis C virus (HCV) is considered the most common etiology of chronic liver disease (CLD) in Egypt, where prevalence of antibodies to HCV (anti-HCV) is ∼ 10-fold greater than in the United States and Europe. Reported are results that show the role of HCV in both overt and occult CLD, the risk factors for CLD and for HCV infection, and the relative importance of chronic HCV, hepatitis B, or both in causing hepatic morbidity. Case patients included 237 new outpatients at the National Liver Institute. Controls comprised 212 sex-and age-matched neighbors without liver disease. Case patients were more likely than controls to report a history of blood transfusions, schistosomiasis, or parenteral therapy for schistosomiasis; to have anti-HCV, HCV RNA, hepatitis B surface antigen, and serum alanine aminotransferase (ALT) elevations; and to have abdominal ultrasound findings of cirrhosis, portal hypertension, and splenomegaly. Anti-HCV-positive case patients were more likely than anti-HCV-negative patients to be male, older, and farmers; to have received a blood transfusion or parenteral therapy for schistosomiasis; to have ALT elevations; and to have ultrasound findings of cirrhosis, portal hypertension, and spleen enlargement. Anti-HCV-positive controls were more likely than anti-HCV-negative controls to have received parenteral therapy for schistosomiasis. These data support the belief that HCV is the predominant cause of CLD in Egypt and suggest there is a large underlying reservoir of HCV-caused liver disease.

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confidence: 99%

“…There are many potential causes, including fatty liver, obesity and diabetes, of a bright echogenic pattern in addition to chronic hepatitis. [20][21][22] Minimal PPF is present in many circumstances, 40 and PPF could not be used to detect HCV infections in our subjects. However, its use to detect prior morbidity from S. mansoni has been described.…”

mentioning

confidence: 99%

Role of hepatitis C infection in chronic liver disease in Egypt.

Strickland

Elhefni²,

Salman³

et al. 2002

The American Journal of Tropical Medicine and Hygiene

115

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“…The fatty-fibrotic/bright liver pattern: increased echogenicity of liver parenchyma and sound attenuation with decreased definition of portal vein walls [16] [18]. Normal gallbladder wall: ≤3 mm [19].…”

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confidence: 99%

Abdominal Sonographic Findings in Severely Immunosuppressed Human Immunodeficiency Virus-Infected Patients Treated for Tuberculosis

Kisembo¹,

Kawooya²,

Kenyon³

et al. 2014

JTR

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Objective: We describe the abdominal sonographic findings among patients with HIV-tuberculosis (TB) co-infection with advanced immune suppression before initiation of ART and relate these findings to the patients' abdominal symptoms and CD4 T-cell count. Methods: Consecutive HIV-TB co-infected patients, qualifying for ART, were prospectively enrolled in a cohort study at the Mulago National Tuberculosis and Leprosy Programme clinic in Kampala, Uganda. An abdominal ultrasound was performed at enrolment. Results: A total of 209 HIV-TB co-infected patients (76% with pulmonary, 19% with extra-pulmonary TB and 5% with extra-pulmonary and pulmonary TB) underwent an abdominal ultrasound scan. Only 49 patients (23.4%) had a normal abdominal ultrasound. The following sonographic abnormalities were found: multiple lymphadenopathy (38%), splenomegaly (18%), renal abnormalities (14%), gastro-intestinal tract abnormalities (thickened bowel loops, appendicitis) (13%), splenic abscesses (13%) and ascites (6%). The commonest groups of enlarged lymph nodes were in the porta-hepatis (19%) and peri-pancreatic * Corresponding author. H. N. Kisembo et al. 66(17%) area and 80% of the enlarged lymph nodes were hypo-echoic. Conclusion: Most patients with advanced immune suppression and HIV-TB co-infection have sonographic evidence of generalized TB with abdominal involvement, therefore Ultrasound may assist in the early diagnosis of disseminated TB.

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“…An abnormal echo pattern has been described in cases of cirrhosis, fatty infiltration, haemochromatosis, long-standing congestive cardiac failure, diffuse hepatomas, small multiple metastases, lymphocystic infiltration and ascending cholangitis, with particular reference to hepatic disorders in adults [7]; but there are only scattered reports of sonographic findings in childhood liver disease. This study is an assessment of the value of ultrasound in differential diagnosis of liver parenchymal lesions, in children and it supports an earlier viewpoint [4].…”

Section: Introductionmentioning

confidence: 99%

Ultrasound findings in childhood chronic liver parenchymal diseases

et al. 1987

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Forty-one children with liver disease were studied by ultrasound scan at King Khalid University Hospital, Riyadh, Saudi Arabia. Diagnoses were confirmed either by liver biopsy or specific laboratory tests. Sonograms were studied for liver size, beam penetration, echogenicity, vascularity, and biliary tree abnormalities. Different liver diseases, such as chronic hepatitis, biliary cirrhosis, Wilson's disease, familial idiopathic cirrhosis, type III glycogen storage disease, and secondary haemochromatosis revealed non-specific disease patterns. Four cases of biliary cirrhosis and two cases of glycogen storage disease showed periportal fibrosis. Two cases of familial idiopathic cirrhosis and a case of Wilson's disease revealed thickening of the gall bladder wall, which has not been described in the literature.

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Ultrasound findings in hepatitis.

Cited by 89 publications

References 0 publications

Role of hepatitis C infection in chronic liver disease in Egypt.

Role of hepatitis C infection in chronic liver disease in Egypt.

Abdominal Sonographic Findings in Severely Immunosuppressed Human Immunodeficiency Virus-Infected Patients Treated for Tuberculosis

Ultrasound findings in childhood chronic liver parenchymal diseases

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