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10.1136/bcr-2014-206475 http://scihub22266oqcxt.onion/10.1136/bcr-2014-206475 C4420825!4420825 !25911351     free     free     free Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\25911351 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       BMJ+Case+Rep 2015 ; 2015 (ä): ä Nephropedia Template TP {{tp|p=25911351 |t=2015. A rare cause of severe lactic acidosis |pdf=|usr=}}{{25911351 }} gab.com Text A rare cause of severe lactic acidosis JO: BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=25911351 #FOAvip Sarcoidosis is a multisystem disease of unknown aetiology with a classic histology of non-caseating granulomas. It most often occurs in those below the age of 50?years, and has a female preponderance. The main targets, often symptomless, are the lung and hilar lymph nodes, although liver involvement is not uncommon. Hepatic sarcoidosis encompasses a broad spectrum of presentations, from asymptomatic hepatic granulomas with slight liver function test derangement to severe liver involvement with cholestasis, advanced liver cirrhosis or chronic liver failure. Mortality due to acute liver failure is far less common than lung and heart involvement. We describe a case of fulminant liver failure with multiorgan failure presenting initially with chronic non-specific symptoms, in addition to minimal abnormal investigations such as mild anaemia, neutrophil leucocytosis and mild obstructive liver dysfunction. Presenting features included confusion, hypotension, oliguria and rapidly deteriorating liver function with severe lactic acidosis. Postmortem examination confirmed extensive systemic sarcoidosis. Twit Text FOAVip A rare cause of severe lactic acidosis ????BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=25911351 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25911351 #FOAvip English Wikipedia <ref>{{Cite pmid|25911351 }}</ref> A rare cause of severe lactic acidosis #MMPMID25911351 Saeed S ; Kuravi A ; Rowley M ; Saeed M BMJ Case Rep 2015[Apr]; 2015 (ä): ä PMID25911351 show ga Sarcoidosis is a multisystem disease of unknown aetiology with a classic histology of non-caseating granulomas. It most often occurs in those below the age of 50?years, and has a female preponderance. The main targets, often symptomless, are the lung and hilar lymph nodes, although liver involvement is not uncommon. Hepatic sarcoidosis encompasses a broad spectrum of presentations, from asymptomatic hepatic granulomas with slight liver function test derangement to severe liver involvement with cholestasis, advanced liver cirrhosis or chronic liver failure. Mortality due to acute liver failure is far less common than lung and heart involvement. We describe a case of fulminant liver failure with multiorgan failure presenting initially with chronic non-specific symptoms, in addition to minimal abnormal investigations such as mild anaemia, neutrophil leucocytosis and mild obstructive liver dysfunction. Presenting features included confusion, hypotension, oliguria and rapidly deteriorating liver function with severe lactic acidosis. Postmortem examination confirmed extensive systemic sarcoidosis. |Acidosis, Lactic/*etiology [MESH] |Fatal Outcome [MESH] |Female [MESH] |Humans [MESH] |Liver Failure, Acute/*etiology [MESH] |Middle Aged [MESH] |Multiple Organ Failure/etiology [MESH]A rare cause of severe lactic acidosis (epmc).pdf DeepDyve Pubget Overpricing