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Acute Liver Failure Secondary to Hemophagocytic Lymphohistiocytosis during Pregnancy
Jeanne-Marie Giard1, Kerry A Decker1, Jennifer C Lai1
1Department of Medicine, Division of Gastroenterology, University of California San Francisco, San Francisco, CA.
Abstract:
Hemophagocytic lymphohistiocytosis (HLH) is a syndrome of excessive immune activation that mimics and occurs with other systemic diseases. A 35-year-old female presented with signs of viral illness at 13 weeks of pregnancy and progressed to acute liver failure (ALF). We discuss the diagnosis of HLH and Kikuchi-Fujimoto (KF) lymphadenitis in the context of pregnancy and ALF. HLH may respond to comorbid disease-specific therapy, and more toxic treatment can be avoided.
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