| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 938 | 358 | 30 |
| Full Text Views | 43 | 11 | 0 |
| PDF Downloads | 57 | 13 | 0 |
Grading of Hepatic Schistosomiasis by the Use of Ultrasonography
M. Farid Abdel-Wahab
M. Farid Abdel-Wahab
Department of Tropical Medicine, Kasr El Aini Hospital, University Faculty of Medicine, International Health Program and Departments of Epidemiology and Preventive Medicine and Microbiology and Immunology, University of Maryland School of Medicine, Cairo, Egypt
Search for other papers by M. Farid Abdel-Wahab in
Current site
Google Scholar
PubMed
Search for other papers by M. Farid Abdel-Wahab in
Current site
Google Scholar
PubMed
Gamal Esmat
Gamal Esmat
Department of Tropical Medicine, Kasr El Aini Hospital, University Faculty of Medicine, International Health Program and Departments of Epidemiology and Preventive Medicine and Microbiology and Immunology, University of Maryland School of Medicine, Cairo, Egypt
Search for other papers by Gamal Esmat in
Current site
Google Scholar
PubMed
Search for other papers by Gamal Esmat in
Current site
Google Scholar
PubMed
Afaf Farrag
Afaf Farrag
Department of Tropical Medicine, Kasr El Aini Hospital, University Faculty of Medicine, International Health Program and Departments of Epidemiology and Preventive Medicine and Microbiology and Immunology, University of Maryland School of Medicine, Cairo, Egypt
Search for other papers by Afaf Farrag in
Current site
Google Scholar
PubMed
Search for other papers by Afaf Farrag in
Current site
Google Scholar
PubMed
Yaser A. El-Boraey
Yaser A. El-Boraey
Department of Tropical Medicine, Kasr El Aini Hospital, University Faculty of Medicine, International Health Program and Departments of Epidemiology and Preventive Medicine and Microbiology and Immunology, University of Maryland School of Medicine, Cairo, Egypt
Search for other papers by Yaser A. El-Boraey in
Current site
Google Scholar
PubMed
Search for other papers by Yaser A. El-Boraey in
Current site
Google Scholar
PubMed
G. Thomas Strickland
G. Thomas Strickland
Department of Tropical Medicine, Kasr El Aini Hospital, University Faculty of Medicine, International Health Program and Departments of Epidemiology and Preventive Medicine and Microbiology and Immunology, University of Maryland School of Medicine, Cairo, Egypt
Search for other papers by G. Thomas Strickland in
Current site
Google Scholar
PubMed
Search for other papers by G. Thomas Strickland in
Current site
Google Scholar
PubMed
Forty-three subjects with pure hepatic schistosomiasis having ultrasonographic assessment of periportal fibrosis were grouped according to the thickness of their portal tracts: grade I = 3–5 mm, grade II = > 5–7 mm, and grade III = > 7 mm. A history of hematemesis, blood transfusion, sclerotherapy, and lower limb edema correlated with the ultrasonographic grade of periportal fibrosis. With increasing grade, the average liver size was smaller and the average spleen size was larger, as determined by physical examination and by ultrasonography. Abnormalities in serum enzyme levels were more frequent in those with thicker portal tracts. Greater diameters of the portal and splenic veins and ultrasonographically detectable collateral blood vessels were associated with increasing thickness of portal tracts. The grade of endoscopically determined esophageal varices was highly correlated with the grade of periportal fibrosis. We concluded that this method of grading accurately reflects the hemodynamic changes and provides a good estimate of the clinical status of patients who have periportal fibrosis due to schistosomiasis mansoni. Where available, it should replace clinical grading based upon the liver and spleen size as detected by physical examination.
Author Notes
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 938 | 358 | 30 |
| Full Text Views | 43 | 11 | 0 |
| PDF Downloads | 57 | 13 | 0 |