Fulminant hepatitis linked to dapsone hypersensitivity syndrome requiring urgent living donor liver transplantation: A case report

  • Angelica Garcia
  • , Nam Joon Yi
  • , Kyoung Bun Lee
  • , Jeong Moo Lee
  • , Young Rok Choi
  • , Suk Won Suh
  • , Tae You
  • , Kwang Woong Lee
  • , June Dong Park
  • , Hyoung Jin Kang
  • , Joon Gon Kim
  • , Eun Kyeong Kang
  • , Geun Hong
  • , Kyung Suk Suh

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Dapsone is a sulfone-type drug used widely for different infectious, immune, and hypersensitivity disorders as an antibacterial treatment alone or in combination for leprosy and sometimes for infected skin lesions. DHS is a severe idiosyncratic adverse reaction with multi-organ involvement. However, acute necrotic hepatitis requiring an emergent LT is rare. Herein, we report a case of 12-yr-old girl who suffered from fulminant hepatitis and multi-organ failure due to DHS for PPD. She was saved by emergent LDLT. A high index of suspicion and rapid diagnosis are necessary not to miss this potentially lethal but rare disease.

Original languageEnglish
Pages (from-to)E240-E245
JournalPediatric Transplantation
Volume18
Issue number7
DOIs
StatePublished - 2014

Keywords

  • Dapsone hypersensitivity syndrome
  • Fulminant hepatitis
  • Liver transplant
  • Pigmented purpuric dermatosis

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