Lactulose to the Rescue: A Case of Toxic Hepatic Encephalopathy Caused by Portosystemic Shunting and Epistaxis in a Patient with Hereditary Hemorrhagic Telangiectasia
Hereditary hemorrhagic telangiectasia (HHT) is an uncommon autosomal dominant disorder characterized by telangiectasias and arteriovenous malformations. Multiple organ systems are involved including the skin, lungs, gastrointestinal tract, and brain. Hepatic encephalopathy is an extremely rare compl...
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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/10.1155/2019/7573408 |
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| author | Ruchit N. Shah Michael Makar Nasir Akhtar Erin Forster |
| author_facet | Ruchit N. Shah Michael Makar Nasir Akhtar Erin Forster |
| author_sort | Ruchit N. Shah |
| collection | DOAJ |
| description | Hereditary hemorrhagic telangiectasia (HHT) is an uncommon autosomal dominant disorder characterized by telangiectasias and arteriovenous malformations. Multiple organ systems are involved including the skin, lungs, gastrointestinal tract, and brain. Hepatic encephalopathy is an extremely rare complication of HHT and early diagnosis and treatment can be life-saving. We present a rare case of hepatic encephalopathy caused by HHT-induced portosystemic shunting treated with lactulose. |
| format | Article |
| id | doaj-art-fd90ca0c270f4388bdc45883e827b493 |
| 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-fd90ca0c270f4388bdc45883e827b4932025-02-03T06:11:27ZengWileyCase Reports in Hepatology2090-65872090-65952019-01-01201910.1155/2019/75734087573408Lactulose to the Rescue: A Case of Toxic Hepatic Encephalopathy Caused by Portosystemic Shunting and Epistaxis in a Patient with Hereditary Hemorrhagic TelangiectasiaRuchit N. Shah0Michael Makar1Nasir Akhtar2Erin Forster3Geisinger Medical Center, Department of Internal Medicine, 100 N Academy Ave, Danville, PA 17822, USAGeisinger Commonwealth School of Medicine, 525 Pine Street, Scranton, PA 18510, USAGeisinger Medical Center, Department of Gastroenterology, 100 N Academy Ave, Danville, PA 17822, USAGeisinger Medical Center, Department of Gastroenterology, 100 N Academy Ave, Danville, PA 17822, USAHereditary hemorrhagic telangiectasia (HHT) is an uncommon autosomal dominant disorder characterized by telangiectasias and arteriovenous malformations. Multiple organ systems are involved including the skin, lungs, gastrointestinal tract, and brain. Hepatic encephalopathy is an extremely rare complication of HHT and early diagnosis and treatment can be life-saving. We present a rare case of hepatic encephalopathy caused by HHT-induced portosystemic shunting treated with lactulose.http://dx.doi.org/10.1155/2019/7573408 |
| spellingShingle | Ruchit N. Shah Michael Makar Nasir Akhtar Erin Forster Lactulose to the Rescue: A Case of Toxic Hepatic Encephalopathy Caused by Portosystemic Shunting and Epistaxis in a Patient with Hereditary Hemorrhagic Telangiectasia Case Reports in Hepatology |
| title | Lactulose to the Rescue: A Case of Toxic Hepatic Encephalopathy Caused by Portosystemic Shunting and Epistaxis in a Patient with Hereditary Hemorrhagic Telangiectasia |
| title_full | Lactulose to the Rescue: A Case of Toxic Hepatic Encephalopathy Caused by Portosystemic Shunting and Epistaxis in a Patient with Hereditary Hemorrhagic Telangiectasia |
| title_fullStr | Lactulose to the Rescue: A Case of Toxic Hepatic Encephalopathy Caused by Portosystemic Shunting and Epistaxis in a Patient with Hereditary Hemorrhagic Telangiectasia |
| title_full_unstemmed | Lactulose to the Rescue: A Case of Toxic Hepatic Encephalopathy Caused by Portosystemic Shunting and Epistaxis in a Patient with Hereditary Hemorrhagic Telangiectasia |
| title_short | Lactulose to the Rescue: A Case of Toxic Hepatic Encephalopathy Caused by Portosystemic Shunting and Epistaxis in a Patient with Hereditary Hemorrhagic Telangiectasia |
| title_sort | lactulose to the rescue a case of toxic hepatic encephalopathy caused by portosystemic shunting and epistaxis in a patient with hereditary hemorrhagic telangiectasia |
| url | http://dx.doi.org/10.1155/2019/7573408 |
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