Evidence map›Paper›PMID 33530924›Full record

ArticleBMC gastroenterology2021

Fatal acute-on-chronic liver failure in amiodarone-related steatohepatitis: a case report.

I-J U Wu, Jia-Huei Tsai, Cheng-Maw Ho

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

I-J U WuDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Jia-Huei TsaiDepartment of Pathology, National Taiwan University Hospital, Taipei, Taiwan.
Cheng-Maw HoDepartment of Surgery, National Taiwan University Hospital, 100, Taipei, Taiwan. miningho@ntu.edu.tw.ORCID http://orcid.org/0000-0003-1874-7615
National Taiwan University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmiodarone is an antiarrhythmic drug that has been recognized to induce hepatotoxicity. We report a case of acute-on-chronic liver failure (ACLF) in a patient who was receiving amiodarone for more than 2 years. The patient developed cirrhosis and suppurative microabscesses of the liver and died of progressive liver failure. CASE PRESENTATION: A 69-year-old woman with risk factors for nonalcoholic fatty liver disease (NAFLD) was treated with oral amiodarone at a daily dose of 400 mg for more than 2 years, until she developed epigastralgia and vomiting. Initial laboratory findings included leukocytosis and elevated liver enzymes. Images of abdominal computed tomography scan revealed diffusely increased hepatic attenuation density (in contrast to decreased density in NAFLD), hepatomegaly, periportal edema, and ascites. Liver biopsy targeting the hotspot identified through positron emission tomography confirmed the diagnosis of amiodarone-associated chronic steatohepatitis and superimposed microabscesses. The patient died of progressive ACLF despite intensive supportive care.

conclusionAccumulation of amiodarone can result in chronic liver disease and pose an additional risk of ACLF following infection.

Indexed as

Acute-On-Chronic Liver FailureAmiodaroneChemical and Drug Induced Liver InjuryAgedAnti-Arrhythmia AgentsFemaleHumansLiver CirrhosisAmiodaroneAnti-Arrhythmia AgentsAcute-on-chronic liver failureAmiodaroneCase reportMicroabscessSteatohepatitis

Identifiers

PMID33530924
PMCPMC7856745
OpenAlexW3127255545

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.