A case of chronic hepatitis B with liver failure due to untreated Basedow disease

Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology
Yoshiaki ShimizuShuichi Kaneko

Abstract

A 45-year-old female who complained of high fever and jaundice was admitted to our hospital for severe liver failure. She had a history of treatment for chronic hepatitis B, which had not been observed for a long time. She was diagnosed with liver failure due to severe hyperthyroidism due to untreated Basedow disease and not due to acute exacerbation of chronic hepatitis B. She was successfully treated with artificial liver adjuvant therapy and total thyroidectomy. Hyperthyroidism should, therefore, be considered as one of the possible causes of acute-on-chronic liver failure.

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