Exacerbation of hepatic encephalopathy by chronic renal failure: response to maintenance hemodialysis.
The consequences of chronic renal insufficiency relevant to hepatic failure are not well appreciated. We describe a patient with chronic cirrhosis and marked porto-systemic shunting who, after the onset of chronic renal failure, developed intractable encephalopathy which improved markedly during an eight month period of maintenance hemodialysis.
D000328:Adult; D000641:Ammonia / Q000097:blood; D006501:Hepatic Encephalopathy / Q000150:complications* / Q000628:therapy; D006801:Humans; D007668:Kidney / Q000378:metabolism; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000378:metabolism / Q000628:therapy; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D008297:Male; D006435:Renal Dialysis
D000641:Ammonia