A 32-year-old man presents with chronic liver disease. He is from a village near the Nile Delta in Egypt. Liver biopsy shows Symmers pipestem fibrosis...

Question

A 32-year-old man presents with chronic liver disease. He is from a village near the Nile Delta in Egypt. Liver biopsy shows Symmers pipestem fibrosis. Portal pressure measurements confirm pre-sinusoidal portal hypertension. Which investigation best distinguishes schistosomal liver disease from alcoholic cirrhosis?

Accepted Answer

Liver ultrasound showing characteristic periportal fibrosis pattern with preserved liver architecture (no nodular regeneration)

Answer

Serum albumin

Answer

AFP level

Answer

Prothrombin time

Answer

Serum AST/ALT ratio

uk-dtmh MCQ (SBA): Schistosomal vs Cirrhotic Liver Disease