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3 years ago

The case begins with a 23 year old woman who presents to her

The case begins with a 23 year old woman who presents to her

Treatment focuses on

Treatment focuses on treating the underlying cause, with immunosuppressants for suspected autoimmune etiology, antivirals for suspected viral etiology, and removal of the offending agent for drug- or chemical-induced disease. Many cases, however, require transplantation. Immunosuppressants or immunomodulators: prednisone, Imuran, CSA, IFN Antivirals: ribavirin, ACV 22

There have, however, been case reports of giant cell hepatitis FOLLOWING transplantation. A case series of 7 patients published in the American Journal of Surgical Pathology describes 5 patients with recurrent disease following transplant and 2 patients with de novo giant cell hepatitis after transplantation for other indications. This suggests that the formation of giant cells may be related to a transmissible agent, or that a particular recipient may injure livers in a way that elicits a giant cell reaction. Although it would be helpful to be able to predict this type of response in potential transplant recipients, giant cell hepatitis is a rare entity whose mechanism is poorly understood. GCH as native disease: recurrent GCH 1-21 months after transplant De novo GCH: 8 months and 24 months after transplant 23

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Mr. P is a 76 year old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy.
Mr. P is a 76 year old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy.
Mr. P is a 76 year old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy.
Mr. P is a 76 year old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy.