Plasma Exchange as a Rescue Therapy for Acute Liver Failure

Acute Liver Failure (ALF) is a life-threatening condition and often necessitates Liver Transplantation (LT). However, LT is not available to most patients in developing countries due to resource constraints. Here, authors presents a case of 30-year-old female with ALF and fulfilled the criteria fo...

Full description

Bibliographic Details
Main Authors: Nupur B Patel, Anand Sharma, Itish Patnaik, Ashok Kumar
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2021-09-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/15371/49865_CE[Ra1]_F(SHU)_PF1(AKA_SH_KM)_PFA(AKA_KM)_PN(KM).pdf
_version_ 1819005796680204288
author Nupur B Patel
Anand Sharma
Itish Patnaik
Ashok Kumar
author_facet Nupur B Patel
Anand Sharma
Itish Patnaik
Ashok Kumar
author_sort Nupur B Patel
collection DOAJ
description Acute Liver Failure (ALF) is a life-threatening condition and often necessitates Liver Transplantation (LT). However, LT is not available to most patients in developing countries due to resource constraints. Here, authors presents a case of 30-year-old female with ALF and fulfilled the criteria for LT. The aetiology of ALF could not be diagnosed in her. Due to the lack of LT facilities, she was offered plasma exchange as a therapeutic option, which resulted in improvement in sensorium and Liver Function Tests (LFT) {bilirubin, International Normalised Ratio (INR), Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT)} over a period of two weeks. She was discharged and was doing well during follow-up. Plasma exchange is a less studied but potential treatment option for ALF when LT is not feasible.
first_indexed 2024-12-20T23:58:29Z
format Article
id doaj.art-0b3d7f447b5b43008054f37fe43f6a07
institution Directory Open Access Journal
issn 2249-782X
0973-709X
language English
last_indexed 2024-12-20T23:58:29Z
publishDate 2021-09-01
publisher JCDR Research and Publications Private Limited
record_format Article
series Journal of Clinical and Diagnostic Research
spelling doaj.art-0b3d7f447b5b43008054f37fe43f6a072022-12-21T19:22:40ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-09-01159OD07OD0910.7860/JCDR/2021/49865.15371Plasma Exchange as a Rescue Therapy for Acute Liver FailureNupur B PatelAnand Sharma Itish PatnaikAshok KumarAcute Liver Failure (ALF) is a life-threatening condition and often necessitates Liver Transplantation (LT). However, LT is not available to most patients in developing countries due to resource constraints. Here, authors presents a case of 30-year-old female with ALF and fulfilled the criteria for LT. The aetiology of ALF could not be diagnosed in her. Due to the lack of LT facilities, she was offered plasma exchange as a therapeutic option, which resulted in improvement in sensorium and Liver Function Tests (LFT) {bilirubin, International Normalised Ratio (INR), Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT)} over a period of two weeks. She was discharged and was doing well during follow-up. Plasma exchange is a less studied but potential treatment option for ALF when LT is not feasible.https://www.jcdr.net/articles/PDF/15371/49865_CE[Ra1]_F(SHU)_PF1(AKA_SH_KM)_PFA(AKA_KM)_PN(KM).pdfgastroenterologyhepatitisliver function tests
spellingShingle Nupur B Patel
Anand Sharma
Itish Patnaik
Ashok Kumar
Plasma Exchange as a Rescue Therapy for Acute Liver Failure
Journal of Clinical and Diagnostic Research
gastroenterology
hepatitis
liver function tests
title Plasma Exchange as a Rescue Therapy for Acute Liver Failure
title_full Plasma Exchange as a Rescue Therapy for Acute Liver Failure
title_fullStr Plasma Exchange as a Rescue Therapy for Acute Liver Failure
title_full_unstemmed Plasma Exchange as a Rescue Therapy for Acute Liver Failure
title_short Plasma Exchange as a Rescue Therapy for Acute Liver Failure
title_sort plasma exchange as a rescue therapy for acute liver failure
topic gastroenterology
hepatitis
liver function tests
url https://www.jcdr.net/articles/PDF/15371/49865_CE[Ra1]_F(SHU)_PF1(AKA_SH_KM)_PFA(AKA_KM)_PN(KM).pdf
work_keys_str_mv AT nupurbpatel plasmaexchangeasarescuetherapyforacuteliverfailure
AT anandsharma plasmaexchangeasarescuetherapyforacuteliverfailure
AT itishpatnaik plasmaexchangeasarescuetherapyforacuteliverfailure
AT ashokkumar plasmaexchangeasarescuetherapyforacuteliverfailure