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Diagnostic ultrasound ( PDFDrive )

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CHAPTER 51 The Pediatric Liver and Spleen 1739

A

B

C

D

FIG. 51.9 Hepatitis. (A) Transverse sonogram in a teenage boy with acute hepatitis shows echogenic portal triads and hypoechoic parenchyma.

(B) Longitudinal image in same patient showing hepatic hypoechoic echotexture similar to adjacent right kidney. (C) Transverse magniied sonogram

and (D) conventional linear array image show congenital herpes infection in an infant with dystrophic calciication throughout the liver. See also

Video 51.2.

Inborn Errors of Metabolism

HEPATOCYTE INJURY CONSISTENTLY

Glycogen storage disease type IV

Galactosemia

Fructose intolerance

Tyrosinemia

Wolman disease

Zellweger syndrome

Neonatal iron storage disease

Wilson disease

HEPATOCYTE INJURY SOMETIMES

α 1 -Antitrypsin deiciency

Cystic ibrosis

Glycogen storage disease (I and III)

NO HEPATOCYTE DAMAGE (STORE METABOLITES)

Mucopolysaccharidoses

Gaucher disease

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