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A correction has been published: N Engl J Med 1997;336(7):523.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 336:118-125 January 9, 1997 Number 2
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Case 1-1997— A 23-Year-Old Man with Fulminant Hepatorenal Failure of Uncertain Cause
Stephen D. Zucker, and Andrea Flieder

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Presentation of Case

A 23-year-old man was admitted to the hospital because of fulminant hepatorenal failure.

The patient had been well until three years earlier, when vague abdominal discomfort developed. Laboratory tests were performed elsewhere. The values for alkaline phosphatase, ceruloplasmin, uric acid, and {alpha}1-antitrypsin were normal, as were the results of iron studies; tests for antibodies to hepatitis A, B, and C and for antinuclear and antimitochondrial antibodies were negative. The results of other tests are shown in Table 1. An ultrasonographic examination of the abdomen showed increased echogenicity of the liver. Microscopical examination of a specimen from a needle-aspiration biopsy . . . [Full Text of this Article]

Differential Diagnosis

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Dr. Stephen D. Zucker's Diagnoses

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References




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