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Acute liver failure in a patient with lung cancer
  1. K M Jamil1,
  2. T Van Hagan2,
  3. J Trotter2,
  4. W Cheng3,
  5. N Kontorinis3
  1. 1Department of Gastroenterology and Hepatology, Royal Perth Hospital, Perth, Western Australia, Australia
  2. 2Department of Medical Oncology, Royal Perth Hospital, Perth, Western Australia, Australia
  3. 3Department of Gastroenterology and Hepatology, Royal Perth Hospital, Perth, Western Australia, Australia
  1. Correspondence to:
    Dr K M Jamil
    Department of Gastroenterology and Hepatology, Royal Perth Hospital, GPO Box S1400, Perth, WA 6845, Australia; khaleeljamil{at}hotmail.com

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Clinical presentation

A 63-year-old man with locally advanced non-small-cell lung cancer presented with dyspnoea, cough and pleuritic chest pain. Examination revealed fever and dehydration with normal cardiovascular, chest and abdominal examination.

Investigations: Alanine aminotransferase level 2760 IU/l, total bilirubin 25 μmol/l, alkaline …

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