{"id":2331,"date":"2020-09-25T22:13:28","date_gmt":"2020-09-25T20:13:28","guid":{"rendered":"https:\/\/angh.net\/abstracts\/une-perturbation-du-bilan-hepatique-chez-une-diabetique-un-diagnostic-rare-a-evoquer\/"},"modified":"2020-09-25T22:13:28","modified_gmt":"2020-09-25T20:13:28","slug":"une-perturbation-du-bilan-hepatique-chez-une-diabetique-un-diagnostic-rare-a-evoquer","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/une-perturbation-du-bilan-hepatique-chez-une-diabetique-un-diagnostic-rare-a-evoquer\/","title":{"rendered":"Une perturbation du bilan h\u00e9patique chez une diab\u00e9tique : un diagnostic rare \u00e0 \u00e9voquer."},"content":{"rendered":"<p><strong>2020<\/strong><\/p>\n<p><em>A.BARON ; C.LEVI ; B.LAMBARE<br \/>\nService d\u2019H\u00e9pato-gastro-ent\u00e9rologie, Centre Hospitalier Sud Francilien, Corbeil Essonnes.<\/em><\/p>\n<p><strong>H\u00e9patologie <\/strong>&#8211; \u00a02020-07-16 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Une patiente de 55 ans, est adress\u00e9e en consultation pour une perturbation du bilan h\u00e9patique \u00e9voluant depuis 2 ans avec biologiquement : ASAT 55 UI\/L (N<45) ALAT 65 UI\/L (N<45UI\/L) PAL 325 UI\/L (N < 150) GGT 400 UI\/L (N < 50 UI\/L) et bilirubin\u00e9mie normale. Elle est asymptomatique. Elle a un diab\u00e8te de type 2 s\u00e9v\u00e8re compliqu\u00e9 d\u2019une n\u00e9phropathie diab\u00e9tique pour laquelle est h\u00e9modialys\u00e9e, une hypertension art\u00e9rielle, une hypercholest\u00e9rol\u00e9mie, une surcharge pond\u00e9rale mod\u00e9r\u00e9e (BMI \u00e0 26). \nLe bilan de premi\u00e8re intention r\u00e9v\u00e8le : un foie st\u00e9atosique \u00e0 l\u2019\u00e9chographie h\u00e9patique sans dysmorphie, sans l\u00e9sion focale, les voies biliaires sont fines, la v\u00e9sicule biliaire alithiasique. Les s\u00e9rologies virales C, VIH et VHE sont n\u00e9gatives, elle est vaccin\u00e9e contre le VHB. Le bilan immun est n\u00e9gatif, notamment les anticorps anti-mitochondries de type 2. L\u2019hypercholest\u00e9rol\u00e9mie est contr\u00f4l\u00e9e sous traitement par statine depuis 5 ans, l\u2019h\u00e9moglobine glyqu\u00e9e est \u00e0 9.5% sous insulinoth\u00e9rapie. Les bilans martial, du cuivre et l\u2019alfa-1 anti-trypsine sont normaux. La cholangio IRM est de qualit\u00e9 moyenne mais ne r\u00e9v\u00e8le pas d\u2019obstacle des voies biliaires ou de cholangite \u00e9vidente, l\u2019IRM h\u00e9patique est normale, le pancr\u00e9as sans l\u00e9sion \u00e9vidente. L\u2019\u00e9lastom\u00e9trie h\u00e9patique par FibroScan est normale \u00e0 5.6 KPa. L\u2019\u00e9chographie cardiaque transthoracique est normale sans signe de dysfonction cardiaque droite.\nUne ponction biopsie h\u00e9patique est r\u00e9alis\u00e9e chez cette patiente candidate \u00e0 une transplantation r\u00e9nale et r\u00e9v\u00e8le une atteinte h\u00e9patique li\u00e9e au diab\u00e8te peu commune. \nLes r\u00e9sultats de la biopsie et la discussion diagnostique seront abord\u00e9s lors du congr\u00e8s.\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2020 A.BARON ; C.LEVI ; B.LAMBARE Service d\u2019H\u00e9pato-gastro-ent\u00e9rologie, Centre Hospitalier Sud Francilien, Corbeil Essonnes. H\u00e9patologie &#8211; \u00a02020-07-16 &#8211;\u00a0CC &#8211; ________________________________ Une patiente de 55 ans, est adress\u00e9e en consultation pour une perturbation du bilan h\u00e9patique \u00e9voluant depuis 2 ans avec biologiquement : ASAT 55 UI\/L (N<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[3],"tags":[31],"class_list":["post-2331","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-31"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Une perturbation du bilan h\u00e9patique chez une diab\u00e9tique : un diagnostic rare \u00e0 \u00e9voquer. - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/une-perturbation-du-bilan-hepatique-chez-une-diabetique-un-diagnostic-rare-a-evoquer\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Une perturbation du bilan h\u00e9patique chez une diab\u00e9tique : un diagnostic rare \u00e0 \u00e9voquer. - 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