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Year : 1998  |  Volume : 1  |  Issue : 1  |  Page : 27-29

The hepatorenal syndrome: Unexpected development in a child with acute viral hepatitis

Department of Paediatrics, Nigeria

Correspondence Address:
H A Aikhionbare
Department of Paediatrics,
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Source of Support: None, Conflict of Interest: None

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A four year old girl with supposedly mild acute viral hepatitis developed functional renal failure (hepatorenal syndrome) on the third week of admission when she was apparently recovering from the liver disease, and died within hours despite resuscitative measures. The need to regularly monitor urine output and "renal function in a patient with acute viral hepatitis is stressed. The possible etiologic role of endotoxaemia, activation of renin­ angiotensin system, sensitisation of to anoxic damage by conjugated bilirubin are highlighted. r · is suggested that prompt dialysis be carried out in patients with hepato-renal syndrome

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