patient Case studies
CASE 1 - H5 alcoholic hepatitis patient died.
53 year old female presented with PHM 48 (H5). HAI -0.35 indicated marked alcoholic hepatitis activity. Patient died soon after hospital admission.
CASE 2 - H4 alcoholic hepatitis patient recovered to H3.
63 year old male presented with PHM 67 (H4). Patient quit alcohol and recovered to PHM 91 (H3). HAI improved from -0.30 (marked) to -0.12 (moderate).
CASE 3 - H2 cirrhotic patient progressed to H5 and died.
78 year old female with decreasing PHM and fLV indicating progressive chronic liver disease. She developed ascites and died while awaiting a transplant.
CASE 4 - H2 patient with HCC progressed to H4 and died .
86 year old female treated three times for HCC. She developed ascites and hepatic encephalopathy after the third treatment and then died.
CASE 5 - H4 patient became H2 post liver transplant.
65 year old female with decompensation (H4) received a transplant liver. PHM near normal (H1) post liver transplant . Spleen volume fSV dropped indicating reduction of portal hypertension.
CASE 6 - H5 patient improved to H2 after ACAH treated. 70 year old female presented with ascites and jaundice. PHM improved from 60 to 92 after Autoimmune Chronic Active Hepatitis (ACAH) was treated with Prednisone/Immuran.
CASE 7 - H0 patient gaining weight at risk of MASH.
70 year old female patient gaining weight on Prednisone. Liver volume increased from 7 to 11 indicating risk of steatohepatitis. Liver function remains normal.
CASE 8 - F4 patient progressing from H1 to H3.
47 year old female presented as F4 cirrhosis by elastography. PHM was stable for 3 years (H1). PHM started dropping indicating risk of decompensation. Increasing fSV indicated portal hypertension.