Liver transplantation for very severe hepatopulmonary syndrome due to vitamin A-induced chronic liver disease in a patient with Shwachman-Diamond syndrome

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作者
Giorgia Bucciol
David Cassiman
Tania Roskams
Marleen Renard
Ilse Hoffman
Peter Witters
Rik Schrijvers
Heidi Schaballie
Barbara Bosch
Maria Caterina Putti
Olivier Gheysens
Noel Knops
Marc Gewillig
Djalila Mekahli
Jacques Pirenne
Isabelle Meyts
机构
[1] KU Leuven,Laboratory of Inborn Errors of Immunity, Department of Microbiology and Immunology
[2] University of Padova,Pediatric Oncology and Hematology, Department of Child’s and Woman’s Health
[3] University Hospitals Leuven and KU Leuven,Gastroenterology and Hepatology
[4] University Hospitals Leuven and KU Leuven,Anatomic Pathology
[5] University Hospitals Leuven,Department of Pediatrics
[6] University Hospitals Leuven and KU Leuven,Laboratory of Clinical Immunology, Microbiology and Immunology Department
[7] The Rockefeller University,St. Giles Laboratory of Human Genetics of Infectious Disease, Rockefeller Branch
[8] University Hospitals Leuven and KU Leuven,Nuclear Medicine
[9] Department of Cardiovascular Sciences,Department of Pediatric Cardiology
[10] KU Leuven,Department of Development and Regeneration
[11] University Hospitals Leuven,Department of Pediatric Nephrology
[12] KU Leuven,Abdominal Transplantation Surgery, Laboratory of Abdominal Transplantation
[13] University Hospitals Leuven,undefined
[14] University Hospitals Leuven and KU Leuven,undefined
关键词
Vitamin A; Liver transplantation; Shwachman-Diamond syndrome; Hepatopulmonary syndrome;
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摘要
Vitamin A intoxication is a rare cause of liver disease, but the risk increases in patients with underlying liver dysfunction. We present a patient with Shwachman-Diamond Syndrome who developed liver fibrosis, portal hypertension and very severe hepatopulmonary syndrome as a consequence of chronic vitamin A intoxication. She underwent successful liver transplantation with complete resolution of the pulmonary shunting.
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