Chronic Hepatitis C with Cyanosis
Background. There are multiple aetiologies for dyspnea in patients with liver disease, including pneumonia, pulmonary embolism, hepatic hydrothorax, portopulmonary syndrome, and hepatopulmonary syndrome. The aim of this paper is to emphasize the importance of early diagnosis and management of hepato...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2019/6586478 |
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| _version_ | 1832560009091743744 |
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| author | Mahmood Alawainati Jawad Khamis Muneer Abdulla Saeed Alsaeed |
| author_facet | Mahmood Alawainati Jawad Khamis Muneer Abdulla Saeed Alsaeed |
| author_sort | Mahmood Alawainati |
| collection | DOAJ |
| description | Background. There are multiple aetiologies for dyspnea in patients with liver disease, including pneumonia, pulmonary embolism, hepatic hydrothorax, portopulmonary syndrome, and hepatopulmonary syndrome. The aim of this paper is to emphasize the importance of early diagnosis and management of hepatopulmonary syndrome. Case Presentation. We report a case of a 65-year-old male who was known to have chronic hepatitis C presented with one-year history of shortness of breath and cyanosis. The initial impression of pulmonary embolism was excluded by comprehensive diagnostic investigations. The correlation between the clinical picture and investigations raised the possibility of hepatopulmonary syndrome which was confirmed by contrast-enhanced transthoracic echocardiography. Conclusions. High suspicion is required to diagnose hepatopulmonary syndrome in patients with liver disease and hypoxemia. Screening for this complication is appropriate in liver transplant candidates, and diagnosed patients should be evaluated extensively for liver transplant. |
| format | Article |
| id | doaj-art-ebfef5f6134743ae9f3c1bce7777075b |
| institution | Kabale University |
| issn | 2090-6587 2090-6595 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Hepatology |
| spelling | doaj-art-ebfef5f6134743ae9f3c1bce7777075b2025-02-03T01:28:44ZengWileyCase Reports in Hepatology2090-65872090-65952019-01-01201910.1155/2019/65864786586478Chronic Hepatitis C with CyanosisMahmood Alawainati0Jawad Khamis1Muneer Abdulla2Saeed Alsaeed3Department of Family Medicine, Ministry of Health, Manama, BahrainDepartment of Medicine, Salmaniya Medical Complex, Manama, BahrainDepartment of Medicine, Salmaniya Medical Complex, Manama, BahrainDepartment of Medicine, Salmaniya Medical Complex, Manama, BahrainBackground. There are multiple aetiologies for dyspnea in patients with liver disease, including pneumonia, pulmonary embolism, hepatic hydrothorax, portopulmonary syndrome, and hepatopulmonary syndrome. The aim of this paper is to emphasize the importance of early diagnosis and management of hepatopulmonary syndrome. Case Presentation. We report a case of a 65-year-old male who was known to have chronic hepatitis C presented with one-year history of shortness of breath and cyanosis. The initial impression of pulmonary embolism was excluded by comprehensive diagnostic investigations. The correlation between the clinical picture and investigations raised the possibility of hepatopulmonary syndrome which was confirmed by contrast-enhanced transthoracic echocardiography. Conclusions. High suspicion is required to diagnose hepatopulmonary syndrome in patients with liver disease and hypoxemia. Screening for this complication is appropriate in liver transplant candidates, and diagnosed patients should be evaluated extensively for liver transplant.http://dx.doi.org/10.1155/2019/6586478 |
| spellingShingle | Mahmood Alawainati Jawad Khamis Muneer Abdulla Saeed Alsaeed Chronic Hepatitis C with Cyanosis Case Reports in Hepatology |
| title | Chronic Hepatitis C with Cyanosis |
| title_full | Chronic Hepatitis C with Cyanosis |
| title_fullStr | Chronic Hepatitis C with Cyanosis |
| title_full_unstemmed | Chronic Hepatitis C with Cyanosis |
| title_short | Chronic Hepatitis C with Cyanosis |
| title_sort | chronic hepatitis c with cyanosis |
| url | http://dx.doi.org/10.1155/2019/6586478 |
| work_keys_str_mv | AT mahmoodalawainati chronichepatitiscwithcyanosis AT jawadkhamis chronichepatitiscwithcyanosis AT muneerabdulla chronichepatitiscwithcyanosis AT saeedalsaeed chronichepatitiscwithcyanosis |