Subacute liver failure induced by phenprocoumon treatment.

Abstract:

:We report on a 39-year-old woman suffering from deep venous thrombosis due to a heterozygous factor-V-Leiden mutation with resistance to activated protein C. Four months after beginning oral anticoagulation, generalized jaundice appeared. Subsequently, subacute liver failure developed necessitating an orthotopic liver transplantation. Histopathology showed features of extensive liver cell necrosis without evidence of a substantial inflammatory infiltrate. Based on histopathology and exclusion of other liver diseases, phenprocoumon-induced liver failure was diagnosed. Five months after transplantation the patient is well with normal liver function tests. Because of the widespread use of oral anticoagulants, not only bleeding complications but also hepatotoxicity should be considered in therapy supervision.

journal_name

Digestion

journal_title

Digestion

authors

Mix H,Wagner S,Böker K,Gloger S,Oldhafer KJ,Behrend M,Flemming P,Manns MP

doi

10.1159/000007710

subject

Has Abstract

pub_date

1999-11-01 00:00:00

pages

579-82

issue

6

eissn

0012-2823

issn

1421-9867

pii

7710

journal_volume

60

pub_type

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