Liver transplantation followed by autologous stem cell transplantation for acute liver failure caused by AL amyloidosis.

Case report and review of the literature 

Autores: Elnegouly Mayada, Specht Katja, Zoller Heinz, Matevossian Edouard, Bassermann Florian, Umgelter Andreas

Resumen

Hepatic involvement in AL amyloidosis may present as acute liver failure. Historically, liver transplantation in these cases has achieved poor outcomes due to progress of amyloidosis and non-hepatic organ damage. In the era of bortezomib treatment, the prognosis of AL amyloidosis has been markedly improved and may also result in better post-transplant outcomes. We present a case of isolated acute liver failure caused by AL amyloidosis, bridged to transplantation with bortezomib and treated with sequential orthotopic liver transplantation (OLT) and autologous stem cell transplantation. The patient is in stable remission 3 years after OLT.

Palabras clave: AL amyloidosis acute liver failure liver transplantation autologous stem cell transplantation.

2016-06-23   |   262 visitas   |   Evalua este artículo 0 valoraciones

Vol. 15 Núm.4. Julio-Agosto 2016 Pags. 592-597 Ann Hepatol 2016; 15(4)