Acute fatty liver, pregnanc

Treem WR et al Acute fatty liver of pregnancy and long-chain 3-hydroxyacyl-coenzyme A dehydrogenase deficiency. Hepatology 1994 19 339. 

Ockner, S.A., Brunt, E.M., Cohn, S.M., Krul, E.S., Hanto, D.W., Peters, M.G. Fulminant hepatic failure caused by acute fatty liver of pregnancy treated by orthotopic liver transplantation. Hepatology 1990 11 59-64... 

Acute fatty liver of pregnancy 589 15.6.2 Erythropoietic protoporphyria 605... 

Fig. 31.9 Microvesicular fatty changes of liver cells in acute fatty liver of pregnancy (Sudan red)...

Sherlock, S. Acute fatty liver of pregnancy and the microvesicular fat diseases. Gut 1983 24 265-269... 

Treem, W.R., Rinaldo, P., Hale, D.E., Stanley, C.A., Millington, D.S., Hyams, J.S., Jackson, S., Turnbull, D.M. Acute fatty liver of pregnancy and long-chain 3-hydroxyacyl coenzyme A dehydrogenase deficiency Hepatology 1994 19 339-345... 

Van Le, L., Podrasky, A. Computed tomographic and ultrasonographic findings in women with acute fatty liver of pregnancy. J. Reprod. Med. 1990 35 815-817... 

Castro MA, Fassett MJ, Reynolds TB, Shaw KJ, Goodwin TM. Reversible peripartum liver failm e a new perspective on the diagnosis, treatment, and cause of acute fatty liver of pregnancy, based on 28 consecutive cases. Am J Obstet Gynecol 1999 181 389-95. 

Minakami H, Takahashi T, Tamada T. Should routine liver biopsy be done for the definite diagnosis of acute fatty liver of pregnancy Am J Obstet Gynecol 1991 164 1690-1. 

Rolfes DB, Ishak KG. Acute fatty liver of pregnancy a clinicopathologic study of 35 cases. Hepatology 1985 5 1149-58. 

Treem WR. Mitochondrial fatty acid oxidation and acute fatty liver of pregnancy. Semin Gastrointest Dis 2002 13 55-66. 

OMIM, Online Mendelian Inheritance in Man (www.ncbi.nlni.nih.gov/entrez/query.fcgi db=OMIM) NBS, newborn screening AFLP, acute fatty liver of pregnancy HELLP syndrome, hemolysis, elevated liver enzymes, and low platelet count. 

Acute fatty liver of pregnancy Bile duct obstruction Budd-Chiari syndrome Drug-induced hepatitis... 

ANSWERS TO CASE 20 ACUTE FATTY LIVER IN PREGNANCY... 

Summary 21-year-old female at 35-week gestation with malaise, nausea and vomiting, jaundice, elevated blood pressures, elevated Uver function tests, coagulopathy, hypoglycemia, and subsequently hepatic coma and renal failure. She has been diagnosed with acute fatty liver of pregnancy. 

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