Nodular regenerative hyperplasia of the liver in rheumatic diseases: Report of seven cases and review of the literature
Nodular regenerative hyperplasia (NRH) of the liver is an uncommon pathologic finding associated, in most cases, with rheumatic and hematologic diseases. Although its pathogenesis remains unclear, NRH probably results from liver regeneration to maintain its functional capacity after ischemia-induced...
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| Veröffentlicht in: | Seminars in arthritis and rheumatism 1991-08, Vol.21 (1), p.47-54 |
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| container_title | Seminars in arthritis and rheumatism |
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| creator | Ruiz, Fernando Perez Orte Martinez, Francisco J. Zea Mendoza, Antonio C. del Arbol, Luis Ruiz Caparros, Alberto Moreno |
| description | Nodular regenerative hyperplasia (NRH) of the liver is an uncommon pathologic finding associated, in most cases, with rheumatic and hematologic diseases. Although its pathogenesis remains unclear, NRH probably results from liver regeneration to maintain its functional capacity after ischemia-induced injury. An intrahepatic microvascular occlusive mechanism has been considered most likely pathogenetically. NRH may lead to portal hypertension. Thus, the diagnosis of Felty's syndrome must be considered with caution in patients with rheumatoid arthritis (RA) and NRH of the liver. We report seven additional cases of NRH in patients with rheumatic disorders and review the literature to determine the patterns of clinical presentation and natural history of this condition. We also report four patients (three systemic lupus erythematosus [SLE] and one primary antiphospholipid syndrome [PAPS]) in whom antiphospholipid antibodies may have played a role in the genesis of NRH. |
| doi_str_mv | 10.1016/0049-0172(91)90056-6 |
| format | Article |
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Although its pathogenesis remains unclear, NRH probably results from liver regeneration to maintain its functional capacity after ischemia-induced injury. An intrahepatic microvascular occlusive mechanism has been considered most likely pathogenetically. NRH may lead to portal hypertension. Thus, the diagnosis of Felty's syndrome must be considered with caution in patients with rheumatoid arthritis (RA) and NRH of the liver. We report seven additional cases of NRH in patients with rheumatic disorders and review the literature to determine the patterns of clinical presentation and natural history of this condition. 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Orte Martinez, Francisco J. ; Zea Mendoza, Antonio C. ; del Arbol, Luis Ruiz ; Caparros, Alberto Moreno</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c367t-a3d646ed4817fb7b3bd055ba5bb510d70cf34198b8b89983b619198397f7fed63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arthritis - complications</topic><topic>Arthritis, Rheumatoid - complications</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Humans</topic><topic>Hyperplasia</topic><topic>Inflammatory joint diseases</topic><topic>Liver - pathology</topic><topic>Liver Diseases - complications</topic><topic>Liver Diseases - pathology</topic><topic>Liver Regeneration</topic><topic>Lupus Erythematosus, Systemic - complications</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Rheumatic Diseases - complications</topic><topic>Scleroderma, Localized - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ruiz, Fernando Perez</creatorcontrib><creatorcontrib>Orte Martinez, Francisco J.</creatorcontrib><creatorcontrib>Zea Mendoza, Antonio C.</creatorcontrib><creatorcontrib>del Arbol, Luis Ruiz</creatorcontrib><creatorcontrib>Caparros, Alberto Moreno</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seminars in arthritis and rheumatism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ruiz, Fernando Perez</au><au>Orte Martinez, Francisco J.</au><au>Zea Mendoza, Antonio C.</au><au>del Arbol, Luis Ruiz</au><au>Caparros, Alberto Moreno</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nodular regenerative hyperplasia of the liver in rheumatic diseases: Report of seven cases and review of the literature</atitle><jtitle>Seminars in arthritis and rheumatism</jtitle><addtitle>Semin Arthritis Rheum</addtitle><date>1991-08</date><risdate>1991</risdate><volume>21</volume><issue>1</issue><spage>47</spage><epage>54</epage><pages>47-54</pages><issn>0049-0172</issn><eissn>1532-866X</eissn><coden>SAHRBF</coden><abstract>Nodular regenerative hyperplasia (NRH) of the liver is an uncommon pathologic finding associated, in most cases, with rheumatic and hematologic diseases. Although its pathogenesis remains unclear, NRH probably results from liver regeneration to maintain its functional capacity after ischemia-induced injury. An intrahepatic microvascular occlusive mechanism has been considered most likely pathogenetically. NRH may lead to portal hypertension. Thus, the diagnosis of Felty's syndrome must be considered with caution in patients with rheumatoid arthritis (RA) and NRH of the liver. We report seven additional cases of NRH in patients with rheumatic disorders and review the literature to determine the patterns of clinical presentation and natural history of this condition. We also report four patients (three systemic lupus erythematosus [SLE] and one primary antiphospholipid syndrome [PAPS]) in whom antiphospholipid antibodies may have played a role in the genesis of NRH.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>1948101</pmid><doi>10.1016/0049-0172(91)90056-6</doi><tpages>8</tpages></addata></record> |
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| ispartof | Seminars in arthritis and rheumatism, 1991-08, Vol.21 (1), p.47-54 |
| issn | 0049-0172 1532-866X |
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| subjects | Adult Aged Arthritis - complications Arthritis, Rheumatoid - complications Biological and medical sciences Diseases of the osteoarticular system Female Humans Hyperplasia Inflammatory joint diseases Liver - pathology Liver Diseases - complications Liver Diseases - pathology Liver Regeneration Lupus Erythematosus, Systemic - complications Male Medical sciences Middle Aged Rheumatic Diseases - complications Scleroderma, Localized - complications |
| title | Nodular regenerative hyperplasia of the liver in rheumatic diseases: Report of seven cases and review of the literature |
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