Hepatoportal sclerosis clinical different evolutionary stages: presentation of 3 cases and literature review

Hepatoportal sclerosis (HPS) is characterized by presinusoidal intrahepatic portal hypertension associated with splenomegaly and anemia in patients with non-cirrhotic liver. Liver biopsy is essential, especially to rule out other processes. Being a disease of unknown etiology, the majority of cases have been described in eastern countries. However, it may be an underdiagnosed disease in the West. Symptoms are related to portal hypertension and the clinical spectrum is wide, ranging from anemia with normal liver function tests to bleeding due to esophageal varices. Treatment is directed to the complications and the prognosis is better than in patients with cirrhosis. We report three cases of HPS presenting at different clinical stages and the findings of liver biopsies, the clinical outcomes and a review of scientific literature.

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Bibliographic Details
Main Authors: Martínez-Caselles,Alejandro, Pons-Miñano,José Antonio, Vargas-Acosta,Ángel, Ortiz-Sánchez,María Luisa, Martínez-Pascual,Cristina, Ruiz-Maciá,José Antonio, Ferri,Belén, Ortiz-Ruiz,Eduardo, Sola,Joaquín
Format: Digital revista
Language:English
Published: Sociedad Española de Patología Digestiva 2012
Online Access:http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082012000200010
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