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


ABSTRACT: 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.

SUBMITTER: Bucciol G 

PROVIDER: S-EPMC5930429 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

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

Bucciol Giorgia G   Cassiman David D   Roskams Tania T   Renard Marleen M   Hoffman Ilse I   Witters Peter P   Schrijvers Rik R   Schaballie Heidi H   Bosch Barbara B   Putti Maria Caterina MC   Gheysens Olivier O   Knops Noel N   Gewillig Marc M   Mekahli Djalila D   Pirenne Jacques J   Meyts Isabelle I  

Orphanet journal of rare diseases 20180502 1


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. ...[more]

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