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Case Report
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| Liver disease masquerading as primary cardiopulmonary disease: Hepatopulmonary syndrome as a result of idiopathic cirrhosis | ||||||
| Bartholameuz Nuwan Aravinda1, Ratnatilaka Asoka2, Sadikeen Aflah3 | ||||||
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1MBBS, Registrar-Medicine, National Hospital, Colombo, Sri Lanka.
2MBBS, MD, Consultant Physician, National Hospital, Colombo, Sri Lanka. 3MBBS, MD, Consultant Chest Physician, Central Chest Clinic, Colombo, Sri Lanka. | ||||||
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| How to cite this article |
| Bartholameuz NA, Ratnatilaka A, Sadikeen A. Liver disease masquerading as primary cardiopulmonary disease: Hepatopulmonary syndrome as a result of idiopathic cirrhosis. Int J Case Rep Images 2017;8(2):116–119. |
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Abstract
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Introduction:
Liver disease and portal hypertension can be associated with pulmonary vascular complications including hepatopulmonary syndrome and portopulmonary hypertension. Hepatopulmonary syndrome is characterized by arterial hypoxemia and pulmonary vascular dilatations. Exertional dyspnea, platypnea-orthodeoxia, cyanosis and digital clubbing are commonly found symptoms and signs in hepatopulmonary syndrome.
Case Report: Here we discuss a patient with chronic liver disease whose initial presentation was hepatopulmonary syndrome with progressive exertional dyspnea, cyanosis and clubbing. Diagnosis of hepatopulmonary syndrome was made through a constellation of findings in blood gas analysis, contrast echocardiography with biochemical and ultrasound evidence of liver disease applied to standard criteria; having excluded other possible causes. Conclusion: Hepatopulmonary syndrome should be suspected in any patient with liver disease and hypoxia. It should also be formulated in the differential diagnosis of a patient with otherwise unexplained exertional dyspnea and cyanosis with digital clubbing. | |
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Keywords:
Cirrhosis, Cyanosis, Digital clubbing, Hepatopulmonary syndrome
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Author Contributions
Bartholameuz Nuwan Aravinda – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Ratnatilaka Asoka – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Sadikeen Aflah – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Bartholameuz Nuwan Aravinda et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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