Hepatic Subcapsular Steatosis in a Diabetic CAPD Patient Receiving Subcutaneous Insulin / 대한신장학회지
Korean Journal of Nephrology
;
: 557-560, 2011.
Artículo
en Coreano
| WPRIM
| ID: wpr-99726
ABSTRACT
Hepatic subcapsular steatosis is a rare and unique form of fatty change in the liver. It is a specific finding in diabetic patients receiving continuous ambulatory peritoneal dialysis (CAPD) and intraperitoneal insulin treatment. Intraperitoneal administration of insulin and high glucose cause a unique pattern of fatty infiltration in the subcapsular location of the liver. We report a case of hepatic subcapsular steatosis in a diabetic CAPD patient who has not received intraperitoneal insulin. A 63-year-old diabetic woman on CAPD presented with uncontrolled blood glucose. The patient received a total amount of 44 units of NPH via subcutaneous injection. Her initial blood chemistry showed mildly increased serum lipid profiles. Abdominal CT scan images and MRI revealed characteristic findings consistent with hepatic subcapsular steatosis. We report a case of hepatic subcapsular steatosis in a diabetic patient not taking intraperitoneal insulin who recovered through strict blood sugar control without changing dialysis modality.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Glucemia
/
Diálisis Peritoneal
/
Diálisis Peritoneal Ambulatoria Continua
/
Diabetes Mellitus
/
Diálisis
/
Hígado Graso
/
Glucosa
/
Inyecciones Subcutáneas
/
Insulina
/
Hígado
Límite:
Femenino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Nephrology
Año:
2011
Tipo del documento:
Artículo
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