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Case Report
Online Published: 05 Mar 2020
 


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 Still’s 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 Still’s 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 Still’s disease, Acute liver failure, Hemophagocytic lymphohistiocytosis, Hepatic encephalopathy, Coagulopathy


 
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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 . https://www.mdpub.net/?mno=81394 [Access: October 14, 2024]. 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 October 14, 2024]; 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


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