title: Multinodular fatty change in the liver in patients with chronic hepatic porphyria.
abstract: We present five cases of chronic hepatic porphyria (CHP) without skin lesions, in whom a multinodular fatty change in the liver was incidentally detected by ultrasound. Discovery prompted further examinations, leading to the diagnosis of CHP. Although relatively rare, the possibility of CHP must be considered when encountering patients with irregular (multinodular) fatty infiltration of the liver of unknown cause. We also discuss the differential diagnosis.
authors.affiliation: First Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita, Japan,
authors.forename: H
authors.initials: H
authors.lastname: Ishida
authors.forename: K
authors.initials: K
authors.lastname: Konno
authors.forename: T
authors.initials: T
authors.lastname: Komatsuda
authors.forename: H
authors.initials: H
authors.lastname: Naganuma
authors.forename: Y
authors.initials: Y
authors.lastname: Hamashima
authors.forename: M
authors.initials: M
authors.lastname: Sato
authors.forename: J
authors.initials: J
authors.lastname: Ishida
authors.forename: S
authors.initials: S
authors.lastname: Watanabe
mesh_terms: D000328:Adult; D000368:Aged; D000792:Angiography; D001706:Biopsy; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005234:Fatty Liver / Q000000981:diagnostic imaging* / Q000209:etiology / Q000473:pathology; D006801:Humans; D008099:Liver / Q000098:blood supply / Q000000981:diagnostic imaging; D008297:Male; D008856:Microscopy, Fluorescence; D008875:Middle Aged; D017094:Porphyrias, Hepatic / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color