Hyperglycaemia as an indicator of concurrent acute pancreatitis in fulminant hepatic failure associated with hepatitis B infection

A. Srinivasan; S. Venkataraman; S. G. Hansdak; O. C. Abraham; D. Mathai

Hyperglycaemia as an indicator of concurrent acute pancreatitis in fulminant hepatic failure associated with hepatitis B infection

A. Srinivasan, S. Venkataraman, S. G. Hansdak, O. C. Abraham, D. Mathai

Research output: Contribution to journal › Article › peer-review

Abstract

Pancreatitis occurring concurrently with fulminant hepatic failure (FHf) is primarily detected on autopsy and is seldom clinically apparent. We report a fatal case of FHF in a 25-year-old woman which was related to acute hepatitis B infection. In this patient, hyperglycaemia needing insulin infusions led to the detection of acute pancreatitis. FHF complicated by acute pancreatitis has a poor prognosis. A high index of suspicion is necessary for its diagnosis. The role of orthotopic liver transplantation and use of antiviral therapies need further evaluation in this situation.

Original language	English
Pages (from-to)	236-237
Number of pages	2
Journal	Singapore Medical Journal
Volume	46
Issue number	5
Publication status	Published - May 2005
Externally published	Yes

Keywords

Fulminant hepatic failure
Hepatitis B
Hyperglycaemia
Pancreatitis

ASJC Scopus subject areas

Medicine(all)

Cite this

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title = "Hyperglycaemia as an indicator of concurrent acute pancreatitis in fulminant hepatic failure associated with hepatitis B infection",

abstract = "Pancreatitis occurring concurrently with fulminant hepatic failure (FHf) is primarily detected on autopsy and is seldom clinically apparent. We report a fatal case of FHF in a 25-year-old woman which was related to acute hepatitis B infection. In this patient, hyperglycaemia needing insulin infusions led to the detection of acute pancreatitis. FHF complicated by acute pancreatitis has a poor prognosis. A high index of suspicion is necessary for its diagnosis. The role of orthotopic liver transplantation and use of antiviral therapies need further evaluation in this situation.",

keywords = "Fulminant hepatic failure, Hepatitis B, Hyperglycaemia, Pancreatitis",

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year = "2005",

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T1 - Hyperglycaemia as an indicator of concurrent acute pancreatitis in fulminant hepatic failure associated with hepatitis B infection

AU - Srinivasan, A.

AU - Venkataraman, S.

AU - Hansdak, S. G.

AU - Abraham, O. C.

AU - Mathai, D.

PY - 2005/5

Y1 - 2005/5

N2 - Pancreatitis occurring concurrently with fulminant hepatic failure (FHf) is primarily detected on autopsy and is seldom clinically apparent. We report a fatal case of FHF in a 25-year-old woman which was related to acute hepatitis B infection. In this patient, hyperglycaemia needing insulin infusions led to the detection of acute pancreatitis. FHF complicated by acute pancreatitis has a poor prognosis. A high index of suspicion is necessary for its diagnosis. The role of orthotopic liver transplantation and use of antiviral therapies need further evaluation in this situation.

AB - Pancreatitis occurring concurrently with fulminant hepatic failure (FHf) is primarily detected on autopsy and is seldom clinically apparent. We report a fatal case of FHF in a 25-year-old woman which was related to acute hepatitis B infection. In this patient, hyperglycaemia needing insulin infusions led to the detection of acute pancreatitis. FHF complicated by acute pancreatitis has a poor prognosis. A high index of suspicion is necessary for its diagnosis. The role of orthotopic liver transplantation and use of antiviral therapies need further evaluation in this situation.

KW - Fulminant hepatic failure

KW - Hepatitis B

KW - Hyperglycaemia

KW - Pancreatitis

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AN - SCOPUS:18744391143

SN - 0037-5675

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SP - 236

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JO - Singapore Medical Journal

JF - Singapore Medical Journal

IS - 5

ER -

Hyperglycaemia as an indicator of concurrent acute pancreatitis in fulminant hepatic failure associated with hepatitis B infection

Abstract

Keywords

ASJC Scopus subject areas

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