Description

The Cairo Working Group proposed criteria for staging a patient with Schistosoma mansoni infection. This is based on clinical and ultrasonographic findings. It can be used to predict patient outcome and to monitor efficacy of treatment.


 

Parameter

Stage 0

Stage I

Stage II

Stage III

periportal thickening

absent

mild to moderate

mild to severe

moderate to severe

splenomegaly

absent

absent

present

present

enlarged left hepatic lobe

absent

borderline

borderline

present

shrunken right hepatic lobe

absent

borderline

present

present

increase portal vein diameter

absent

absent

present

present

collaterals (in adults)

absent

absent

borderline

present

small eiploon (in children)

absent

absent

borderline

present

ascites

absent

absent

absent

present

gallbladder wall thickening

absent

absent

borderline

present

 

where:

• I have no idea what "eiploon" refers to.

• The presence of other diseases such as malaria or viral hepatitis in the patient will affected the size of the liver and spleen.

 


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