Histologic and electron-microscopic liver changes in diabetic children.

Acta hepato-gastroenterologica Pub Date : 1979-12-01
G Lorenz, G Bärenwald
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Abstract

The results of 99 histologically examined liver biopsy samples--14 of them also examined under the electron microscope--taken from 68 insulin-treated diabetic children of both sexes at an age from 2-14 years. most of them with long-standing diabetes, are presented, thus giving a survey of morphologic liver findings of diabetes mellitus in this age group. Apart from metabolic changes, such as amount of fat and glycogen storage--including the nuclear glycogen of the liver--secondary diseases of inflammatory nature were found to play a prominent role in one third of the children. There are definite correlations with the degree of metabolic decompensation, demanding preventive and therapeutic measures.

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糖尿病儿童肝脏的组织学和电镜改变。
对68名2-14岁接受胰岛素治疗的男女糖尿病儿童的99个肝脏活检样本进行了组织学检查,其中14个也在电子显微镜下进行了检查。其中大多数为长期糖尿病患者,因此对该年龄组糖尿病的肝脏形态学表现进行了调查。除了代谢变化,如脂肪量和糖原储存——包括肝核糖原——外,在三分之一的儿童中,发现炎症性继发性疾病起着突出作用。这与代谢失代偿的程度有一定的相关性,需要采取预防和治疗措施。
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