Diagnostic étiologique: Causes rares Flashcards

1
Q

Citer les causes rares de cirrhose:

A
. hépatite chronique B-delta
. cholangite biliaire primitive 
. Cholangite sclérosante primitive
. cirrhose biliaire secondaire
. hépatite auto-immune
. hémochromatose génétique
. syndrome de Budd-chiari
. Foie cardiaque
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2
Q

Hépatite chronique B-delta:

A

. Ag HBS + ARN VHD dans le sérum

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3
Q

Cholangite biliaire primitive:

A

. Cholangite diffuse en bili-IRM ou cholangiographie rétrograde

. MICI associée

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4
Q

Cholangite biliaire secondaire:

A

. ATCD d’obstacle prolongé sur les voies biliaires

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5
Q

Hépatite auto-immune:

A

. Ac anti-tissu élevé

. hypergammaglobulinémie

. histologie

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6
Q

Hémochromatose génétique:

A

. coefficient de saturation de la transferine > 60%

. hyperferitinémie

. mutation homozygote C282Y du gene HFE

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7
Q

Syndrome de Budd-chiari:

A

. obstruction des veines hépatiques en imagerie

. affection prothrombotique

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