LIVER DISEASE, LIVER FAILURE, UNSPECIFIC [DD] | |
unspecific liver disease/liver failure: -infectious: Hepatitis A, B, C, Parvovirus B19, Echovirus 9, Coxsackie virus, Adenovirus, HSV, EBV, CMV, Rubella, Syphilis, Toxoplasma, Human Herpas virus 6) -adverse drug reactions (both toxic and hepatitic) - hemophagocytic lymphohistiocytosis - infiltrative diseases - irradiation damage - long-term TPN - vascular anomalies/tumors (hemangioma and arteriovenous malformation ) - neonatal lupus erythomatosus - hepatic neuroblastoma - Budd-Chiari-Syndrome - progressive familial intrahepatic cholestasis (Byler) - hereditary fructose intolerance - inborn errors of oxidative phosphorylation - neonatal hemochromatosis - tyrosinemia - alpha 1 antitrypsin deficiency - Wilsons disease - galactosemia - alpha-1-antitrypsin deficiency - Zellweger syndrome - Niemann Pick disease type C - Glycogen storage disease type IV - mitochondrial DNA depletion syndrome | |
Laboratory findings | Methionine normal/inc (plasma) N-Acetyltryptophane inc (urine) N-Acetyltyrosine inc (urine) Ammonia inc (blood) bleeding time dec (blood) DL-Kynurenin normal/inc (urine) L-Lactic acid normal/inc (blood) L-Lactic acid inc (urine) pH normal/dec (blood) Transaminases (ASAT/ALAT) normal/inc (serum) |
Symptoms | encephalopathy liver failure ascites bleeding tendencies, hemorrhages Coagulopathy/Coagulation factors coma early death hepatomegaly (large liver) hyperammonemia hypotension jaundice lactic acidosis onset, adolescent onset, childhood onset, infancy onset, neonatal Organic acids, urine pruritus seizures teleangiectasia thromboembolism |