Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0023890 (cirrhosis)
 42,195 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Tuberculous peritonitis is a rare disease, which often goes unrecognized because of the subtle clinical clues and its insidous onset. We retrospectively analyzed the records of 37 cases of tuberculous peritonitis diagnosed over a 15-year period, and compared the clinical and diagnostic features of cirrhotic and noncirrhotic patients. In cirrhotic patients, tuberculous peritonitis can simulate ascites from liver disease or spontaneous bacterial peritonitis. The diagnosis is difficult in these patients because the ascitic fluid may not be of the exudative type as a result of the low albumin level in serum, and lymphocytes do not predominate in all cases. Adenosine deaminase (ADA) activity in ascitic fluid was elevated (higher than 40 U/L) in all 11 patients (four patients with hepatic cirrhosis). The time required to achieve a correct diagnosis was significantly longer in cirrhotic than in noncirrhotic patients. The overall mortality was 13%, with deaths occurring exclusively among cirrhotic patients. We emphasize that tuberculous peritonitis in cirrhotic patients can present an atypical picture. A considerable element of suspicion is necessary.
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PMID:Tuberculous peritonitis: a study comparing cirrhotic and noncirrhotic patients. 214 14

Adenosine deaminase (ADA) activity was measured in peripheral blood mononuclear cells (PBMC) from patients with chronic liver disease (CLD). Mean ADA levels were decreased in patients with untreated chronic active hepatitis (CAH). ADA levels in patients with CAH in remission under immunosuppressive treatment and in patients with inactive cirrhosis (IC) were similar to control values. ADA levels were not related to any of the biochemical parameters examined, or to the percentage of T cells evaluated on the same PBMC preparations. Our data suggest that biochemical and/or histological remission in CLD may be associated with normalization of ADA levels in PBMC.
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PMID:Different levels of lymphocyte adenosine deaminase in active and inactive forms of chronic liver disease. 660 1