SciELO - Scientific Electronic Library Online

 
vol.108 issue10Gastric varicella: two cases in cancer patientsEndoscopic resection of rectal granular-cell tumor using elastic band ligation author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista Española de Enfermedades Digestivas

Print version ISSN 1130-0108

Abstract

SILVA, Marco et al. Glycogenic hepatopathy in young adults: a case series. Rev. esp. enferm. dig. [online]. 2016, vol.108, n.10, pp.672-676. ISSN 1130-0108.  http://dx.doi.org/10.17235/reed.2016.3934/2016.

Glycogenic hepatopathy is a rare and underecognized complication in long-standing poorly controlled type 1 diabetes mellitus patients. This is a distinct entity from other causes of hepatomegaly and elevated liver enzymes in diabetics, such as nonalcoholic fatty liver disease. Glycogenic hepatopathy is characterized by the combination of poorly controlled diabetes, acute liver injury with marked elevation in serum aminotransferases, and the characteristic histological features on liver biopsy. It is important to distinguish this entity as it has the potential for resolution following improved glycemic control. In this report, we describe four cases of adult patients presenting elevated serum transaminases and hepatomegaly with a history of poorly controlled type I diabetes mellitus. One of the patients had also elevated amylase and lipase in the serum, without clinical or imagiologic evidence of acute pancreatitis. Liver biopsy was performed in all patients and revealed glycogenic hepatopathy. Clinician's awareness of glycogenic hepatopathy should prevent diagnostic delay or misdiagnosis and will provide better insight and management for this condition.

Keywords : Acute hepatitis; Hepatomegaly; Ascitis; Diabetes mellitus; Liver biopsy.

        · text in English     · English ( pdf )