Psychiatric Differences between Liver Transplant Candidates with Familial Amyloid Polyneuropathy and Those with Alcoholic Liver Disease

Background. There are multiple aetiologies for dyspnea in patients with liver disease, including pneumonia, pulmonary embolism, hepatic hydrothorax, portopulmonary syndrome, and hepatopulmonary syndrome. The aim of this paper is to emphasize the importance of early diagnosis and management of hepatopulmonary syndrome. Case Presentation. We report a case of a 65-year-old male who was known to have chronic hepatitis C presented with one-year history of shortness of breath and cyanosis. The initial impression of pulmonary embolism was excluded by comprehensive diagnostic investigations. The correlation between the clinical picture and investigations raised the possibility of hepatopulmonary syndrome which was confirmed by contrast-enhanced transthoracic echocardiography. Conclusions. High suspicion is required to diagnose hepatopulmonary syndrome in patients with liver disease and hypoxemia. Screening for this complication is appropriate in liver transplant candidates, and diagnosed patients should be evaluated extensively for liver transplant.

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Correction to: Patients with Alcoholic Liver Disease Have Worse Functional Status at Time of Liver Transplant Registration and Greater Waitlist and Post-transplant Mortality Which Is Compounded by Older Age

Digestive Diseases and Sciences ◽

10.1007/s10620-019-06004-8 ◽

2020 ◽

Vol 65 (6) ◽

pp. 1871-1872

Author(s):

Patrick McCabe ◽

Artin Galoosian ◽

Robert J. Wong

Keyword(s):

Liver Disease ◽

Liver Transplant ◽

Functional Status ◽

Alcoholic Liver Disease ◽

Older Age ◽

Post Transplant

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Confined Live(r)s

Anthropological Journal of European Cultures ◽

10.3167/ajec.2018.270204 ◽

2018 ◽

Vol 27 (2) ◽

pp. 45-64 ◽

Cited By ~ 2

Author(s):

Julia Rehsmann

Keyword(s):

Liver Transplantation ◽

Liver Disease ◽

Liver Transplant ◽

Medical Care ◽

Significant Role ◽

Alcoholic Liver Disease ◽

Moral Economy ◽

Life And Death ◽

Ethnographic Fieldwork ◽

Second Chance

This article traces the trope of self-infliction for the moral economy of liver transplantation. Drawing on ethnographic fieldwork in Germany, I discuss the trope of self-infliction to explore intimate uncertainties that people with an alcoholic liver disease face when looking for medical care. I claim that the moralising trope of self-infliction plays a significant role in considerations about who is deserving of a liver transplant and a ‘second chance’. As access to transplantation becomes a life-and-death matter when livers fail, I see the trope of self-infliction as a tool for triaging lives for liver transplantation. Moreover, I claim that the trope of self-infliction, with its emphasis on self-responsibility, has a gendered dimension that puts women with an alcoholic liver disease under particular moral scrutiny. Furthermore, I demonstrate how this moralising trope shapes regulatory practices, like the ‘six-month abstinence rule’, which consequently confine livers and thus, eventually, confine lives.

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