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Acute liver failure information


Acute liver failure
Acute liver failure (with hepatocellular necrosis and sinusoidal bleeding) from Marburg virus, a rare cause
SpecialtyGastroenterology, hepatology, intensive care medicine Edit this on Wikidata
SymptomsJaundice, excessive bleeding, altered state of consciousness, hyperdynamic circulation, hepatocellular necrosis, low blood pressure
ComplicationsHepatic encephalopathy, kidney failure, thrombocytopenia, hyponatraemia
Diagnostic methodProthrombin time measurement, complete blood count
TreatmentLiver transplant

Acute liver failure is the appearance of severe complications rapidly after the first signs (such as jaundice) of liver disease, and indicates that the liver has sustained severe damage (loss of function of 80–90% of liver cells). The complications are hepatic encephalopathy and impaired protein synthesis (as measured by the levels of serum albumin and the prothrombin time in the blood). The 1993 classification defines hyperacute as within 1 week, acute as 8–28 days, and subacute as 4–12 weeks;[1] both the speed with which the disease develops and the underlying cause strongly affect outcomes.[2]

  1. ^ O'Grady JG, Schalm SW, Williams R (1993). "Acute liver failure: redefining the syndromes". Lancet. 342 (8866): 273–5. doi:10.1016/0140-6736(93)91818-7. PMID 8101303. S2CID 21583699.
  2. ^ O'Grady JG (2005). "Acute liver failure". Postgraduate Medical Journal. 81 (953): 148–54. doi:10.1136/pgmj.2004.026005. PMC 1743234. PMID 15749789.

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