Liver Transplant in Hemoglobin SC Disease and Autoimmune Hepatitis: A Case Report.

Liver Transplant in Hemoglobin SC Disease and Autoimmune Hepatitis: A Case Report.
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DOI:
10.6002/ect.2021.0350
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发表时间:
2022-04
影响因子:
0.9
通讯作者:
Chen, Po-Hung
Chen, Po-Hung
中科院分区:
医学4区
文献类型:
--
作者:
Kim, Ahyoung;Assarzadegan, Naziheh;Anders, Robert A.;Oshima, Kiyoko;Chaturvedi, Shruti;Weeks, Sharon;Kohli, Ruhail;Lanzkron, Sophie;Gurakar, Ahmet;Garonzik-Wang, Jacqueline;Chen, Po-Hung

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虽然肝移植(LT)对于终末期肝病患者是一种挽救生命的措施,但对于伴有镰状细胞病(SCD)的患者来说,围手术期的处理可能是具有挑战性的。我们报告一例50岁男性,其SCD基因SC(HBSC)和继发于自身免疫性肝炎(AIH)的肝硬变接受了肝移植。他的术后病程包括上肢深静脉血栓形成(DVT)、肺血栓(PE)、切除线条后经卵圆孔未闭的中风,以及后部可逆性脑病综合征(PRES)。幸运的是,他在移植后10个月还活着,移植肾功能正常。该病例强调了在SCD中进行肝移植的可行性,因为有细致的多学科护理的支持,以及AIH和SCD在肝移植方面的独特方面的考虑。。
While liver transplantation (LT) is a life-saving measure for individuals with end-stage liver disease, the peri-operative management may be challenging in individuals with concomitant sickle cell disease (SCD). We report a case of a 50-year-old man with SCD genotype SC (HbSC) and cirrhosis secondary to autoimmune hepatitis (AIH) who underwent LT. His post-operative course included upper extremity deep vein thrombosis (DVT), pulmonary embolus (PE), stroke via a patent foramen ovale after a line removal, and posterior reversible encephalopathy syndrome (PRES). Fortunately, he is alive with a functioning graft at 10 months after LT. This case highlights the feasibility of LT in SCD given the support of meticulous multidisciplinary care and the unique aspects of AIH and SCD for LT consideration. .
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