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A pain in the neck
  1. Deepak Joshi1,
  2. Ashley Barnabas1,
  3. Alex Knisely1,
  4. Richard Barker2,
  5. Kosh Agarwal1
  1. 1Institute of Liver Studies, King's College Hospital, London, UK
  2. 2Department of Respiratory Medicine, King's College Hospital, London, UK
  1. Correspondence to Dr Deepak Joshi, Institute of Liver Studies, King's College Hospital, London SE5 9RS, UK; d.joshi{at}

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A 47-year-old male, born in India, with genotype 3a chronic hepatitis C virus infection, a responder-relapser to 24 weeks of pegylated interferon and ribavirin therapy, successfully underwent elective liver transplantation (LT) for hepatocellular carcinoma (two lesions; 30 mm, Segment VIII, and 26 mm, Segment V) and synthetic dysfunction (MELD 8). He received a heart beating donor graft; his immunosuppression regimen consisted of tacrolimus and a …

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