E-ISSN 2534-9821
 

Case Report 


Adult-onset Still's disease presenting with acute liver failure caused by hemophagocytic lymphohistiocytosis

Nipun Tharaka Ranaweera, Ranjith Kalupahana, Gunananthan Karthick.

Abstract
Hemophagocytic lymphohistiocytosis is a well-known complication of adult-onset Stillís disease but an unusual cause for acute liver failure. Here we present a young female with the background of fever, arthritis, rash presenting with acute onset liver failure with hepatic encephalopathy and bleeding. The diagnostic evaluation was negative for infections, autoimmune disorders or malignancies and fulfilled the criteria for adult-onset Stillís disease and hemophagocytic lymphohistiocytosis resulting in acute liver failure. Treatment with liver failure regime and immunomodulation ensued a quick and complete recovery.

Key words: Adult-onset Stillís disease, Acute liver failure, Hemophagocytic lymphohistiocytosis, Hepatic encephalopathy, Coagulopathy


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Nipun Tharaka Ranaweera
Articles by Ranjith Kalupahana
Articles by Gunananthan Karthick
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Ranaweera NT, Kalupahana R, Karthick G, . Adult-onset Still's disease presenting with acute liver failure caused by hemophagocytic lymphohistiocytosis . Int J Med Rev Case Rep. 2020; 4(5): 66-68. doi:10.5455/IJMRCR.Adult-onset-Still-disease


Web Style

Ranaweera NT, Kalupahana R, Karthick G, . Adult-onset Still's disease presenting with acute liver failure caused by hemophagocytic lymphohistiocytosis . http://www.mdpub.net/?mno=81394 [Access: July 02, 2020]. doi:10.5455/IJMRCR.Adult-onset-Still-disease


AMA (American Medical Association) Style

Ranaweera NT, Kalupahana R, Karthick G, . Adult-onset Still's disease presenting with acute liver failure caused by hemophagocytic lymphohistiocytosis . Int J Med Rev Case Rep. 2020; 4(5): 66-68. doi:10.5455/IJMRCR.Adult-onset-Still-disease



Vancouver/ICMJE Style

Ranaweera NT, Kalupahana R, Karthick G, . Adult-onset Still's disease presenting with acute liver failure caused by hemophagocytic lymphohistiocytosis . Int J Med Rev Case Rep. (2020), [cited July 02, 2020]; 4(5): 66-68. doi:10.5455/IJMRCR.Adult-onset-Still-disease



Harvard Style

Ranaweera, N. . T., Kalupahana, R., Karthick, G. & (2020) Adult-onset Still's disease presenting with acute liver failure caused by hemophagocytic lymphohistiocytosis . Int J Med Rev Case Rep, 4 (5), 66-68. doi:10.5455/IJMRCR.Adult-onset-Still-disease



Turabian Style

Ranaweera, Nipun Tharaka, Ranjith Kalupahana, Gunananthan Karthick, and . 2020. Adult-onset Still's disease presenting with acute liver failure caused by hemophagocytic lymphohistiocytosis . International Journal of Medical Reviews and Case Reports, 4 (5), 66-68. doi:10.5455/IJMRCR.Adult-onset-Still-disease



Chicago Style

Ranaweera, Nipun Tharaka, Ranjith Kalupahana, Gunananthan Karthick, and . "Adult-onset Still's disease presenting with acute liver failure caused by hemophagocytic lymphohistiocytosis ." International Journal of Medical Reviews and Case Reports 4 (2020), 66-68. doi:10.5455/IJMRCR.Adult-onset-Still-disease



MLA (The Modern Language Association) Style

Ranaweera, Nipun Tharaka, Ranjith Kalupahana, Gunananthan Karthick, and . "Adult-onset Still's disease presenting with acute liver failure caused by hemophagocytic lymphohistiocytosis ." International Journal of Medical Reviews and Case Reports 4.5 (2020), 66-68. Print. doi:10.5455/IJMRCR.Adult-onset-Still-disease



APA (American Psychological Association) Style

Ranaweera, N. . T., Kalupahana, R., Karthick, G. & (2020) Adult-onset Still's disease presenting with acute liver failure caused by hemophagocytic lymphohistiocytosis . International Journal of Medical Reviews and Case Reports, 4 (5), 66-68. doi:10.5455/IJMRCR.Adult-onset-Still-disease