Hepatic subcapsular steatosis in diabetic CAPD patients treated with intraperitoneal insulin. Description of a typical pattern.
Acta Radiol
; 42(3): 323-5, 2001 May.
Article
de En
| MEDLINE
| ID: mdl-11350293
ABSTRACT
PURPOSE:
To describe a specific imaging pattern of hepatic fatty change typical of diabetic patients on continuous ambulatory peritoneal dialysis (CAPD) treated with intraperitoneal (i.p.) insulin. MATERIAL ANDMETHODS:
Liver ultrasound was applied in 16 CAPD patients with insulin-dependent diabetes mellitus. Presence of hepatic subcapsular steatosis and maximum thickness of the fatty layer were recorded. Liver MR examination was made of 1 patient found to have extensive subcapsular steatosis.RESULTS:
Hepatic ultrasound revealed a typical pattern of subcapsular steatosis ("coating-of-fat") in 7/8 patients treated with i.p. insulin. None (0/8) of the diabetic CAPD patients treated with subcutaneous insulin had subcapsular steatosis.CONCLUSION:
Hepatic subcapsular steatosis is specific to CAPD patients on i.p. insulin treatment. To our knowledge this is the first report to describe imaging findings in this particular form of hepatic fatty change.
Recherche sur Google
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Dialyse péritonéale continue ambulatoire
/
Néphropathies diabétiques
/
Stéatose hépatique
/
Insuline
Type d'étude:
Diagnostic_studies
Limites:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
Acta Radiol
Année:
2001
Type de document:
Article
Pays d'affiliation:
Finlande