A 9-month-old child presented with four days fever and altered sensorium for 2 days. He developed seizures in the emergency department and was in a state of shock. His blood sugar was 9 mg/dL. He was resuscitated with intravenous fluids. The child had fever, altered sensorium and erythematous skin. His liver was palpable 4 cm below right costal margin and spleen was just palpable. The limbs wer...

1. The concentrations of four serum glycoproteins, thyroxine-binding globulin, alpha 2-macroglobulin, alpha 1-antitrypsin and transferrin, as well as their reactivities with concanavalin A and lentil-lectin, were measured in patients with hepatocellular carcinoma or fulminant hepatic failure and in normal subjects. 2. Serum concentrations of thyroxine-binding globulin and alpha 1-antitrypsin we...

Fulminant hepatic failure (FHF) remains a rare but devastating disease. Viruses and drug-induced hepatotoxicity are the most common causes of the syndrome, but the relevance of each differs depending on the geographic area. In a large proportion of patients no cause for FHF can be identified. Good intensive care is critical for patient survival. Orthotopic liver transplantation (OLT) remains a ...