| The Use of Single-pass Albumin Dialysis to Correct Severe Hyperbilirubinemia in Acute Hepatitis A : A Case Report |
| Seoung Woo Lee, M.D.1, Woo Chul Joo, M.D.1, Su Hyun Kwon, M.D.1, Jin Woo Lee, M.D.2, Joon Ho Song, M.D.1 and Moon-Jae Kim, M.D.1 |
Division of Nephrology and Hypertension1
Division of Gastroenterology2
Department of Internal Medicine, Inha University College of Medicine, Incheon, Republic of Korea |
| 증례 : The Use of Single-pass Albumin Dialysis to Correct Severe Hyperbilirubinemia in Acute Hepatitis A : A Case Report |
| Seoung Woo Lee, M.D.1, Woo Chul Joo, M.D.1, Su Hyun Kwon, M.D.1, Jin Woo Lee, M.D.2, Joon Ho Song, M.D.1 and Moon-Jae Kim, M.D.1 |
| Division of Nephrology and Hypertension1, Division of Gastroenterology2, Department of Internal Medicine, Inha University College of Medicine, Incheon, Republic of Korea |
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| Abstract |
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In cases of acute liver failure or acute or chronic liver failure, extracorporeal albumin dialysis utilizing a Molecular Adsorbent Recirculating System has been used to treat liver failure and to reduce serum total bilirubin concentrations as a bridge therapy until either liver transplantation or spontaneous recovery.
However, the procedure is expensive and is not easily administered in clinical practice. Recently, single pass albumin dialysis (SPAD) using continuous renal replacement therapy was introduced, but information is scarce regarding its efficacy in controlling serum bilirubin. The authors report a case of acute hepatitis A, in which SPAD was performed to correct severe hyperbilirubinemia. |
| Key Words:
Hyperbilirubinemia, Extracorporeal dialysis, Albumin |
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