Platypnea-Orthodeoxia: An Effective Diagnostic Tool for Hepatopulmonary Syndrome With Chronic Obstructive Pulmonary Disease.
| Autor: | Furuta Y; Department of Cardiology, Japan Community Healthcare Organization Hoshigaoka Medical Center, Osaka, JPN., Sugahara M; Department of Cardiology, Japan Community Healthcare Organization Hoshigaoka Medical Center, Osaka, JPN., Nakamura T; Department of General Internal Medicine, Nara Prefecture Seiwa Medical Center, Nara, JPN., Tominaga K; Department of Gastroenterology, Japan Community Healthcare Organization Hoshigaoka Medical Center, Osaka, JPN., Kijima Y; Department of Cardiology, Japan Community Healthcare Organization Hoshigaoka Medical Center, Osaka, JPN. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Mar 08; Vol. 15 (3), pp. e35904. Date of Electronic Publication: 2023 Mar 08 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.35904 |
| Abstrakt: | Hepatopulmonary syndrome (HPS) shows progressive dyspnea resulting from intrapulmonary atrioventricular shunts in liver cirrhosis. The comorbidity of chronic lung disease often hampers the diagnosis of progressive dyspnea in patients with HPS. Therefore, a comprehensive approach to the determination of dyspnea is required. Here, this case report shows that a patient with chronic obstructive pulmonary disease (COPD) and alcoholic liver cirrhosis was diagnosed with HPS after admission due to worsening dyspnea. Although COPD exacerbation was initially suspected because of the long history of smoking, physical examinations, laboratory findings, and imaging data, dyspnea remained after recovery from worsening respiratory failure. HPS was suspected due to the absence of increased CO Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Furuta et al.) |
| Databáze: | MEDLINE |
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