Acute liver failure in pregnancy due to autoimmune hepatitis.

Document Type

Article

Publication Date

8-11-2021

Publication Title

BMJ Case Reports

Abstract

Autoimmune hepatitis is a diagnosis rarely made in pregnancy, especially in the setting of acute liver failure. If unrecognised and untreated, it can result in significant fetal and maternal morbidity and mortality. We report a case of acute liver failure in a patient presenting at 17 weeks' gestation. She was diagnosed with autoimmune hepatitis via transjugular liver biopsy. Prednisone therapy was initiated, resulting in disease remission for the remainder of her pregnancy. Induction of labour at 37 weeks' gestation resulted in delivery of a healthy small for gestational age neonate. Prompt diagnosis of a non-obstetrical aetiology for acute liver failure in pregnancy is critical to provide the appropriate therapy to achieve an optimal pregnancy outcome.

Volume

14

Issue

8

First Page

e241355

Last Page

e241355

DOI

10.1136/bcr-2020-241355

ISSN

1757-790X

PubMed ID

34380673

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