title: Hemophagocytic syndrome occurring in an adult liver transplant recipient having Still's disease.
abstract: Hemophagocytic syndrome is a potentially fatal complication that rarely occurs after liver transplantation. We present a 25-year-old man with a history of Still's disease who presented with fever, arthralgia, and elevated serum ferritin levels 6 months after undergoing liver transplantation for fulminant hepatic failure due to autoimmune hepatitis potentially triggered by infliximab therapy. Liver biopsy demonstrated features consistent with hemophagocytic syndrome. The patient was successfully treated with a course of high dose steroids and had complete resolution of his symptoms and normalization of liver chemistry test abnormalities. Patients with Still's disease may rarely complicate with fulminant hepatic failure with infliximab therapy. Hemophagocytic syndrome a rare potentially life threatening condition may occur in such patients following liver transplantation.
authors: Division of Liver Diseases, Mount Sinai School of Medicine, Box 1104, One Gustave L Levy Place, New York, NY 10029-6574 USA.
authors: Sanjaya K
authors: SK
authors: Satapathy
authors: M
authors: M
authors: Isabel Fiel
authors: Juan
authors: J
authors: Del Rio Martin
authors: Costica
authors: C
authors: Aloman
authors: Thomas D
authors: TD
authors: Schiano