title: Before it crumbles: Fulminant Hepatic Failure secondary to Hodgkin's Lymphoma.
abstract: Fulminant hepatic failure (FHF) is a relatively rare manifestation of Hodgkin's lymphoma. Clinical features, laboratory findings, and imaging of the liver are usually inconclusive, and liver biopsy may be required for confirmation. We present a case of an FHF in a woman 1 week after the diagnosis of Hodgkin's lymphoma. Chemotherapy could not be instituted due to hepatic encephalopathy and other complications. Autopsy revealed diffuse infiltration of the liver parenchyma. This case illustrates the importance of early diagnosis and institution of chemotherapy, which may reverse the liver failure.
authors.affiliation: Department of Internal Medicine, Reading Health System, West Reading, PA, USA; paraskarmacharya@gmail.com.
authors.forename: Paras
authors.initials: P
authors.lastname: Karmacharya
authors.affiliation: Department of Internal Medicine, Saint Agnes Hospital, Baltimore, MD, USA.
authors.forename: Naresh
authors.initials: N
authors.lastname: Bhandari
authors.affiliation: Department of Internal Medicine, Reading Health System, West Reading, PA, USA.
authors.forename: Madan R
authors.initials: MR
authors.lastname: Aryal
authors.affiliation: Division of Cardiovascular Diseases, Mayo Clinic, Scottsdale, AZ, USA.
authors.forename: Aashrayata A
authors.initials: AA
authors.lastname: Pandit
authors.affiliation: Department of Internal Medicine, Reading Health System, West Reading, PA, USA.
authors.forename: Ranjan
authors.initials: R
authors.lastname: Pathak
authors.affiliation: Department of Internal Medicine, College of Medical Sciences, Bharatpur, Nepal.
authors.forename: Sailu
authors.initials: S
authors.lastname: Ghimire
authors.affiliation: Department of Internal Medicine, Nanjing Medical University, Nanjing, China.
authors.forename: Pragya
authors.initials: P
authors.lastname: Shrestha
authors.affiliation: Department of Hematology and Oncology, University of Nebraska Medical Center, Omaha, NE, USA.
authors.forename: Vijaya R
authors.initials: VR
authors.lastname: Bhatt
keywords: Hodgkin's disease; Hodgkin's lymphoma; acute liver; failure; fulminating hepatic failure