Hashmi SS, Hafeez Bhatti AB, Malik MI, Rana A, Nasir H, Dar FS, Khan EA. Spectrum of histopathological diagnosis in paediatric patients with liver disorders in Pakistan.
J Pak Med Assoc 2017;
67:266-269. [PMID:
28138183 DOI:
pmid/28138183]
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Abstract
OBJECTIVE
To document spectrum of paediatric liver disorders confirmed on liver biopsy.
METHODS
The retrospective review of patients was conducted at Shifa International Hospital, Islamabad, Pakistan, and comprised data of all children who underwent ultrasound-guided percutaneous liver biopsy between December 2008 and June 2015. Frequency of individual diagnosis was assessed and compared on gender basis. SPSS 16 was used for statistical analysis.
RESULTS
There were medical records of 74 patients in the study with an overall median age of 6.9 years (interquartile range: 0.2-17.7 years). Metabolic 27(36.5%) and inflammatory 19(25.6%) disorders were the most common aetiologies. At presentation 29(39.1%) patients had cirrhosis; and 25(34%) children were <5 years of age. Metabolic disorders were the most common aetiology in children upto 10 years of age with 19(25.6%) patients. Above the age of 10 years, inflammatory disorders were more frequent and were seen in 10(13.5%). Based on gender, a trend towards significance was observed for metabolic disorders (p=0.08) and children who presented with cirrhosis (p= 0.07), but it was not statistically significant.
CONCLUSIONS
Metabolic disorders were the most common cause of liver disorders. A number of children at presentation had underlying cirrhosis.
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