Chronic enolic liver disease, oedema and ascites, can it hide something else?

Authors

  • Gema Navarro-Jiménez Servicio de Medicina Interna, Hospital Universitario Fundación Alcorcón, Alcorcón (Madrid), Spain
  • Elena Batlle-López Servicio de Cardiología, Hospital Universitario Fundación Alcorcón, Alcorcón (Madrid), Spain

DOI:

https://doi.org/10.32818/reccmi.a3n3a10

Keywords:

hypertrophic cardiomyopathy, alcoholism, ascites, anamnesis

Abstract

We present the case of a 47-year-old man with a previous diagnosis of chronic enolic liver disease who was admitted for the first episode of edemo-ascitic decompensation. After several data against the origin of liver disease as a cause of the clinical manifestations, diagnosis of familial hypertrophic cardiomyopathy in the phase of ventricular dysfunction was reached. It is an example of the importance of integrating an adequate clinical assessment with complementary tests that can sometimes be confusing and delay the final diagnosis.

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References

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European Association for the Study of the Liver. EASL clinical practical guidelines on the management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndrome in cirrhosis. J Hepatology. 2010 Sep; 53(3): 397-417. doi: https://doi.org/10.1016/j.jhep.2010.05.004.

Elliott PM, Anastasakis A, Borger MA, Borggrefe M, Cecchi F, Charron P, et al. 2014 ESC Guidelines on diagnosis and management of hypertrophic cardiomyopathy. Eur Heart J. 2014 Oct 14; 35(39): 2733-2779. doi: https://doi.org/10.1093/eurheartj/ehu284.

Pérez Riera AR, Barbosa Barros R. Hypertrophic cardiomyopathy: value of electrocardiogram for the diagnosis of different types and for differential diagnosis with athlete’s heart. Rev Fed Arg Cardiol. 2015; 44(1) 12-24.

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Published

2018-12-31

How to Cite

1.
Navarro-Jiménez G, Batlle-López E. Chronic enolic liver disease, oedema and ascites, can it hide something else? . Rev Esp Casos Clin Med Intern [Internet]. 2018 Dec. 31 [cited 2024 Jul. 22];3(3):130-2. Available from: https://www.reccmi.com/RECCMI/article/view/339

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