Lactulose to the Rescue: A Case of Toxic Hepatic Encephalopathy Caused by Portosystemic Shunting and Epistaxis in a Patient with Hereditary Hemorrhagic Telangiectasia.
Journal
Case reports in hepatology
ISSN: 2090-6587
Titre abrégé: Case Reports Hepatol
Pays: United States
ID NLM: 101622103
Informations de publication
Date de publication:
2019
2019
Historique:
received:
16
01
2019
accepted:
14
03
2019
entrez:
30
4
2019
pubmed:
30
4
2019
medline:
30
4
2019
Statut:
epublish
Résumé
Hereditary hemorrhagic telangiectasia (HHT) is an uncommon autosomal dominant disorder characterized by telangiectasias and arteriovenous malformations. Multiple organ systems are involved including the skin, lungs, gastrointestinal tract, and brain. Hepatic encephalopathy is an extremely rare complication of HHT and early diagnosis and treatment can be life-saving. We present a rare case of hepatic encephalopathy caused by HHT-induced portosystemic shunting treated with lactulose.
Identifiants
pubmed: 31032126
doi: 10.1155/2019/7573408
pmc: PMC6457288
doi:
Types de publication
Case Reports
Langues
eng
Pagination
7573408Références
N Engl J Med. 2000 Sep 28;343(13):931-6
pubmed: 11006369
AJR Am J Roentgenol. 2001 Apr;176(4):919-20
pubmed: 11264078
Radiology. 2004 Jan;230(1):250-9
pubmed: 14645886
Ultraschall Med. 2004 Sep;25(5):348-55
pubmed: 15368138
J Hepatol. 2007 Mar;46(3):499-507
pubmed: 17239481
Aliment Pharmacol Ther. 2008 Sep 1;28(5):523-33
pubmed: 18573106
Semin Liver Dis. 2008 Aug;28(3):247-58
pubmed: 18814078
N Engl J Med. 2009 May 14;360(20):2143-4
pubmed: 19439755
J Clin Pathol. 1977 Dec;30(12):1134-41
pubmed: 203609
Dig Dis Sci. 2011 Jul;56(7):2166-78
pubmed: 21290179
Intern Emerg Med. 2012 Aug;7(4):323-9
pubmed: 21305365
JAMA. 2012 Mar 7;307(9):948-55
pubmed: 22396517
Ultrasound Q. 2014 Sep;30(3):221-4
pubmed: 25148498
Neurology. 2015 May 5;84(18):1886-93
pubmed: 25862798
Haematologica. 2018 Sep;103(9):1433-1443
pubmed: 29794143
Drugs. 2019 Feb;79(Suppl 1):5-9
pubmed: 30706420
N Y State J Med. 1981 Feb;81(2):209-12
pubmed: 6936637
Ann Neurol. 1978 Aug;4(2):130-44
pubmed: 707984
N Engl J Med. 1995 Oct 5;333(14):918-24
pubmed: 7666879
Gastroenterology. 1999 Jan;116(1):187-92
pubmed: 9869617