Three cases of glycogenic hepatopathy mimicking acute and relapsing hepatitis in type I diabetes mellitus.
10.3350/cmh.2013.19.4.421
- Author:
Jae Hwang CHA
1
;
Sang Ho RA
;
Yu Mi PARK
;
Yong Kwan JI
;
Ji Hyun LEE
;
So Yeon PARK
;
Soon Koo BAIK
;
Sang Ok KWON
;
Mee Yon CHO
;
Moon Young KIM
Author Information
1. Department of Internal Medicine, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea. drkimmy@yonsei.ac.kr
- Publication Type:Case Reports
- Keywords:
Glycogen hepatopathy;
Transaminase;
Type I diabetes mellitus
- MeSH:
Acute Disease;
Adult;
Alanine Transaminase/blood;
Aspartate Aminotransferases/blood;
Delayed Diagnosis;
Diabetes Mellitus, Type 1/complications/*pathology;
Diagnostic Errors;
Female;
Glycogen Storage Disease/complications/*diagnosis/ultrasonography;
Hepatitis/diagnosis;
Hepatomegaly/complications/*diagnosis/ultrasonography;
Humans;
Liver/pathology;
Recurrence;
Young Adult
- From:Clinical and Molecular Hepatology
2013;19(4):421-425
- CountryRepublic of Korea
- Language:English
-
Abstract:
Glycogenic hepatopathy (GH) is an uncommon cause of serum transaminase elevation in type I diabetes mellitus (DM). The clinical signs and symptoms of GH are nonspecific, and include abdominal discomfort, mild hepatomegaly, and transaminase elevation. In this report we describe three cases of patients presenting serum transaminase elevation and hepatomegaly with a history of poorly controlled type I DM. All of the cases showed sudden elevation of transaminase to more than 30 times the upper normal range (like in acute hepatitis) followed by sustained fluctuation (like in relapsing hepatitis). However, the patients did not show any symptom or sign of acute hepatitis. We therefore performed a liver biopsy to confirm the cause of liver enzyme elevation, which revealed GH. Clinicians should be aware of GH so as to prevent diagnostic delay and misdiagnosis, and have sufficient insight into GH; this will be aided by the present report of three cases along with a literature review.
