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Liver disease
Familial occurrence of nodular regenerative hyperplasia of the liver: a report on three families
  1. J Dumortiera,b,
  2. O Boillota,
  3. M Chevallierc,
  4. F Bergerd,
  5. P Potiere,
  6. P-J Valettea,
  7. P Paliarda,
  8. J-Y Scoazecb,d
  1. aFédération des Spécialités Digestives, Hôpital Edouard Herriot, Lyon, France, bINSERM U45, Hôpital Edouard Herriot, Lyon, France, cLaboratoire d’Anatomie Pathologique, Fondation Mérieux, Lyon, France, dLaboratoire Central d’Anatomie et Cytologie Pathologiques, Hôpital Edouard Herriot, Lyon, France, eService d’Hépato-Gastro- Entérologie, Centre Hospitalier Lyon Sud, Pierre Bénite, France
  1. Dr J Dumortier, INSERM Unité 45, pavillon Hbis, Hôpital Edouard Herriot, 69437 Lyon Cedex 03, France.

Abstract

BACKGROUND/AIMS Nodular regenerative hyperplasia of the liver is a histological lesion usually associated with systemic diseases, haematological malignancies, or drugs. Its prognosis depends on portal hypertension, which usually is well tolerated and requires medical management only.

PATIENTS Three unrelated families, in which two sibling adult male patients presented with nodular regenerative hyperplasia of the liver, were studied.

METHODS Complete clinical charts and liver biopsy specimens were available for all patients. In addition, explanted livers were available for examination for the two transplanted patients.

RESULTS There was no evidence of any of the various clinical situations known to be associated with nodular regenerative hyperplasia of the liver. Portal hypertension was severe, requiring surgical treatment in two cases. Renal lesions were present in three patients. In two patients, progressive evolution to liver atrophy and hepatic failure, associated with renal failure, led to combined liver and renal transplantation.

CONCLUSIONS This report describes the existence of familial cases of nodular regenerative hyperplasia of the liver, occurring without underlying or associated systemic disease, characterised by a poor clinical course and often associated with progressive renal failure.

  • nodular regenerative hyperplasia
  • liver
  • transplantation
  • familial

  • Abbreviation used in this paper

    NRHL
    nodular regenerative hyperplasia of the liver

    • https://doi.org/10.1136/gut.45.2.289

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    • Abbreviation used in this paper

      NRHL
      nodular regenerative hyperplasia of the liver
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