Idiopathic Portal Hypertension in a Patient with Mixed Connective Tissue Disease and Protein C Deficiency

被引:4
|
作者
Horai, Yoshiro [1 ]
Miyamura, Tomoya [1 ]
Hirata, Akie [1 ]
Nakamura, Masataka [1 ]
Takahama, Soichiro [1 ]
Ando, Hitoshi [1 ]
Minami, Rumi [1 ]
Yamamoto, Masahiro [1 ]
Suematsu, Eiichi [1 ]
机构
[1] Natl Hosp Org Kyushu Med Ctr, Clin Res Ctr, Dept Internal Med & Rheumatol, Fukuoka, Japan
关键词
idiopathic portal hypertension; mixed connective tissue disease; protein C deficiency;
D O I
10.2169/internalmedicine.49.3834
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a 29-year-old woman with a 2.5 year history of mixed connective tissue disease (MCTD) who developed idiopathic portal hypertension (IPH) and thrombocytopenia as a result of hypersplenism. She had recurrent esophagogastric variceal rupture. Hematological examination also revealed low levels of protein C activity. The liver biopsy specimen showed non-specific mild inflammation and no thrombi. However, portal vein thrombosis developed after splenectomy. This was a rare case of severe complications of IPH accompanying MCTD and protein C deficiency.
引用
收藏
页码:2013 / 2016
页数:4
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