A case of acute-on-chronic liver failure promoted by thyrotoxicosis triggered due to iodinated contrast media exposure

To the Editor: Acute-on-chronic liver failure (ACLF) is a syndrome in patients with chronic liver disease/cirrhosis, characterized by acute deterioration of liver function with one or more extra hepatic organ failures. Blood test showed total leukocyte count 3.19 × 109/L, neutrophil percentage 63.3%...

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Bibliographic Details
Published inChinese medical journal Vol. 133; no. 6; pp. 745 - 746
Main Authors Ye, Yan-Ting, Jiang, Jing-Sun, Guo, Lin-Jie, Tang, Cheng-Wei, Huang, Li-Bin
Format Journal Article
LanguageEnglish
Published China Lippincott Williams & Wilkins Ovid Technologies 20.03.2020
Wolters Kluwer Health
Wolters Kluwer
Subjects
Abdomen
Acute-On-Chronic Liver Failure - etiology
Adult
Ascites
Blood
Contrast agents
Contrast Media - analysis
Correspondence
Failure
Female
Hepatitis
Humans
Iodine
Iodine - adverse effects
Liver diseases
Patients
Thyroid gland
Thyrotoxicosis - chemically induced
Thyrotoxicosis - complications
Viruses
China
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Summary:To the Editor: Acute-on-chronic liver failure (ACLF) is a syndrome in patients with chronic liver disease/cirrhosis, characterized by acute deterioration of liver function with one or more extra hepatic organ failures. Blood test showed total leukocyte count 3.19 × 109/L, neutrophil percentage 63.3%, red blood cell count 3.46 × 1012/L, hemoglobin 10.7 g/L, and platelets 80 × 109/L. [4] The hepatic manifestations of WD are very variable, ranging from asymptomatic abnormal liver tests, simple acute self-limited hepatitis-like illness to autoimmune-like hepatitis, or even cirrhosis and rare acute liver failure.
ISSN:0366-6999
2542-5641
DOI:10.1097/CM9.0000000000000700