Magnetic resonance imaging features of progressive familial intrahepatic cholestasis type 3.
Radiologie (Heidelb)
; 2024 Jun 03.
Article
em En
| MEDLINE
| ID: mdl-38829428
ABSTRACT
PURPOSE:
Progressive familial intrahepatic cholestasis type 3 (PFIC-3) is a rare autosomal recessive cholestatic liver disorder. This study aimed to present the clinical and magnetic resonance imaging (MRI) features of three patients with PFIC3.METHODS:
The study included three patients with cholestasis and pathogenic variants in the ABCB4 gene identified by next-generation sequencing of a targeted-gene panel or by whole-exome sequencing. The clinical, laboratory, histological, molecular, and MRI features of the patients were collected.RESULTS:
Three patients (one male and two females) were enrolled. The age when clinical signs and symptoms were first noted was 21, 14, and 39 years, respectively, and the signs and symptoms included pruritus and splenomegaly (in all three patients). Parenchymatous lace-like fibrosis was associated with periportal hyperintensity and periportal halo sign in three patients. Segmental atrophy was observed in two patients, diffuse atrophy was observed in one patient, and liver surface irregularity caused by regenerating nodules was observed in three patients. Magnetic resonance cholangiopancreatography (MRCP) images showed irregular bile duct changes in three patients, focal hilar bile duct stenosis, and local intrahepatic bile duct dilatation.CONCLUSIONS:
Imaging studies using MRI and MRCP can support the clinical and laboratory results in cases of PFIC3 and can also be used as a noninvasive diagnostic option.
Texto completo:
1
Base de dados:
MEDLINE
Idioma:
En
Revista:
Radiologie (Heidelb)
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
China