RJ Fontana et al. Hepatology 2016; 64: 1870-80. In this study of 681 adults with acute liver failure in U.S., only 3 had detectable anti-HEV IgM and all three were negative for HEV-RNA. In addition, other putative causes of acute liver failure were present in all three. My take: Hepatitis E is very rare explanation for acute liver failure in the U.S.
RA Rosencrantz et al. Hepatology 2016; 64: 2253-6. Case report of 2.5 yr old with autoimmune sclerosing cholangitis with Kawasaki disease. This was a well-described case with MRCP and liver histology. My take: In patients with Kawasaki with protracted liver disease, another etiology to consider.
Related blog posts:
- Kawasaki disease –there’s an app for that! | gutsandgrowth
- Test your knowledge of Hepatitis E | gutsandgrowth