Online Journal
電子ジャーナル
IF値: 1.8(2022年)→1.9(2023年)

英文誌(2004-)

Journal of Medical Ultrasonics

一度このページでloginされますと,Springerサイト
にて英文誌のFull textを閲覧することができます.

cover

2023 - Vol.50

Vol.50 No.02

Case Report(症例報告)

(0115 - 0120)

A case of TAFRO syndrome in which differentiation from hepatic ascites was important because of hepatitis C virus infection

Hiroki IWATA1, Masafumi HASHIGUCHI1, 2, Tsutomu TAMAI1, Shuzo TASHIMA1, Kaori MUROMACHI1, Yuji IWASHITA1, Yuichiro NASU1, Takeshi HORI1, Hirohito TSUBOUCHI1, Akio IDO3

1Department of Gastroenterology,Kagoshima City Hospital, 2Maehara General Medical Hospital, 3Digestive and Lifestyle Diseases,Department of Human and Environmental Sciences, Kagoshima University Graduate School of Medical and Dental Sciences

キーワード : ascites, liver cirrhosis, noninvasive testing (NIT), POEMS syndrome, TAFRO syndrome

The patient was a Japanese male in his 70s who had previously been treated with an interferon preparation for chronic hepatitis C, but the treatment was ineffective. After edema appeared, computed tomography showed subcutaneous edema, pleural effusion, and ascites, and hepatic edema and ascites were initially suspected because of persistent hepatitis C virus (HCV) infection, thrombocytopenia, and a high FIB-4 index. Noninvasive testing (NIT), which included Mac2 binding protein glycosylation isomer (M2BPGi), ultrasound elastography, and congestion index of the portal vein, ruled out liver cirrhosis and hepatic ascites, and this case was ultimately considered to be TAFRO syndrome. The most common cause of ascites is liver cirrhosis, which is often treated by a hepatologist. Thus, it is important to objectively differentiate whether ascites is due to a hepatic cause using NIT. And since there have been no reports of HCV infection complicated by TAFRO syndrome, this case is rare and valuable.