Hepatopulmonary syndrome

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Definition

  • Syndrome characterized by liver disease, intrapulmonary vascular dilatation, and abnormal oxygenation
  • Even mild liver disease
  • Separate from portopulmonary hypertension

Epidemiology

  • 5-30% of patients with liver disease

Clinical Presentation

  • Platypnea
  • Orthodeoxia
  • Clubbing
  • Cyanosis

Investigations

Management

  • Liver transplant is the only cure