Functional liver imaging with asialoglycoprotein receptors and serum hyaluronate in a patient with amyloidosis

Autor: Masaru Harada, Hirofumi Fukushima, Akihiro Iemura, Satoshi Itano, Kumi Imamura, Masahito Ohishi, Osamu Hashimoto, T. Ueno, Norito Matsukuma, Kyuichi Tanikawa, Masamichi Kojiro, Michio Sata
Rok vydání: 1995
Předmět:
Zdroj: Journal of Gastroenterology. 30:403-407
ISSN: 1435-5922
0944-1174
Popis: A 47-year-old man with primary amyloidosis was admitted with abdominal pain. A new radionuclide liver imaging technique using Technetium-99 m diethylenetriamine-pentaacetic acid-galactosyl human serum albumin, was performed and the serum hyaluronate concentration was measured. Although ordinary laboratory tests revealed only slight abnormalities, the uptake of the radiolabelled ligand for hepatocyte asialo-glycoprotein receptors was dereased, and marked hepatomegaly was revealed. Furthermore, the serum hyaluronate level was elevated. Histological examination of a hepatic needle biopsy specimen revealed a marked deposition of amyloid in the hepatic perisinusoidal spaces. These results indicate, that this new radionuclide liver imaging technique (using Technetium-99 m diethylenetriamine-pentaacetic acid-galactosyl human serum albumin) and the measurement of serum hyaluronate may be useful supplementary tools for identifying amyloid deposition in the hepatic perisinusoidal spaces in patients with amyloidosis.
Databáze: OpenAIRE