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Acute autoimmune hepatitis mimicking metastatic liver disease: A case report

World Journal of Hepatology 2012年第7期4卷 234-236页

作者： Ibrahim Masoodi khalid alsayari Division of Gastroenterology and Hepatology King Abdul Aziz Specialist Hospital Taif21944 Saudi Arabia Division of Gastroenterology and Hepatology King Fahad Medical City Riyadh 11525 Saudi Arabia

We report progressive painless jaundice in a 39 year old female with a suspicion of metastatic liver disease on ultrasound and computed tomography scan of the abdomen. Although the most frequent liver lesions are liver metastasis because of dual blood supply of the liver and the impact of hormones, the index case proved to have acute autoimmune hepatitis (AIH) after liver biopsy was undertaken. AIH, an unresolving inflammation of liver, occurs predominantly among females worldwide. It may present acutely and even fulminant hepatitis has been described. The index case had a dramatic response to steroid treatment with total recovery and complete resolution of liver lesions. She is clinically fine and has been regularly attending our clinic for the last year. To our knowledge from a Medline search, this is the first report where AIH was seen to mimic metastatic liver disease.

关键词： Metastatic liver disease Auto immune hepatitis Jaundice Liver biopsy

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Bee sting therapy-induced hepatotoxicity:A case report

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World Journal of Hepatology 2011年第10期3卷 268-270页

作者： Adel Nazmi Alqutub Ibrahim Masoodi khalid alsayari Ahmed Alomair Division of Gastroenterology and Hepatology King Fahad Medical City

The use of bee venom as a therapeutic agent for the relief of joint pains dates back to Hippocrates,and ref-erences to the treatment can be found in ancient Egyp-tian and Greek medical writings as *** known as apitherapy,the technique is widely used in Eastern Europe,Asia,and South *** beneficial effects of bee stings can be attributed to mellitinin,an anti-in-flammatory agent,known to be hundred times stronger than ***,certain substances in the bee venom trigger allergic reactions which can be life threatening in a sensitized *** stings are known to cause hemolysis,kidney injury,hepatotoxicity and myocardial *** toxicity can be immedi-ate or can manifest itself only weeks after the *** describe hepatotoxicity in a 35-year-old female,following bee sting therapy for multiple *** presented to our clinic 3 wk after therapy with a his-tory of progressive *** patient subsequently improved,and has been attending our clinic now for the last 9 mo.

关键词： Bee sting therapy Hepatotoxicity Melli-tinin Prothombotic state

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