A recovery case of acute-onset autoimmune hepatitis presenting as fulminant hepatic failure [corrected], who received living donor-liver transplantation.
A 23-year-old woman was admitted to our hospital with jaundice and hepatic coma. She had taken a weight-loss supplement for one month before admission. Her clinical and laboratory findings were consistent with fulminant hepatic failure and fulfilled the criteria of autoimmune hepatitis. Despite corticosteroid pulse therapy and plasma exchange, her symptoms and laboratory findings deteriorated. Her condition improved after she received a living donor-liver transplant from her sister. Autoimmune hepatitis usually follows a chronic course, but it should be considered a type of fulminant hepatic failure and treated promptly.
Takahashi
Atsushi
A
Department of Internal Medicine II, Fukushima Medical University School of Medicine, Fukushima.
Ohira
Hiromasa
H
Onizawa
Michio
M
Monoe
Kyoko
K
Kanno
Yukiko
Y
Saito
Hironobu
H
Abe
Kazumichi
K
Takiguchi
Junko
J
Rai
Tsuyoshi
T
Kimura
Takashi
T
Kenjo
Akira
A
Tsuchiya
Takao
T
Saito
Takuro
T
Gotoh
Mitsukazu
M
D000208:Acute Disease; D000328:Adult; D019440:Anti-Obesity Agents / Q000009:adverse effects; D003937:Diagnosis, Differential; D005260:Female; D019693:Hepatitis, Autoimmune / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D017114:Liver Failure, Acute / Q000139:chemically induced / Q000175:diagnosis* / Q000601:surgery*; D016031:Liver Transplantation; D019520:Living Donors
D019440:Anti-Obesity Agents