Abstract:
:Acute liver failure is a rare presentation of hematologic malignancy. Acute on chronic liver failure (ACLF) is a newly recognized clinical entity that describes acute hepatic decompensation in persons with preexisting liver disease. Diffuse large B-cell lymphoma (DLBCL) is an aggressive non-Hodgkin's lymphoma (NHL) with increasing incidence in older males, females and blacks. However, it has not yet been reported, to present with acute liver failure in patients with preexisting chronic liver disease due to human immunodeficiency virus (HIV)/hepatitis C virus (HCV) co-infection. We describe a case of ACLF as the presenting manifestation of DLBCL in an elderly black man with HIV/HCV co-infection and prior Hodgkin's disease in remission for three years. The rapidly fatal outcome of this disease is highlighted as is the distinction of ACLF from decompensated cirrhosis. Due to the increased prevalence of HIV/HCV co-infection in the African American 1945 to 1965 birth cohort and the fact that both are risk factors for chronic liver disease and NHL we postulate that the incidence of NHL presenting as ACLF may increase.
journal_name
World J Gastroenteroljournal_title
World journal of gastroenterologyauthors
Siba Y,Obiokoye K,Ferstenberg R,Robilotti J,Culpepper-Morgan Jdoi
10.3748/wjg.v20.i44.16774subject
Has Abstractpub_date
2014-11-28 00:00:00pages
16774-8issue
44eissn
1007-9327issn
2219-2840journal_volume
20pub_type
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doi:10.3748/wjg.v4.i6.519
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doi:10.3748/wjg.v23.i6.964
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pub_type: 杂志文章
doi:10.3748/wjg.14.2343
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pub_type: 杂志文章
doi:10.3748/wjg.v11.i34.5412
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更新日期:2009-05-21 00:00:00