Hepatorenal syndrome classiication: Difference between revisions
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==Classification== | ==Classification== | ||
* Type I hepatorenal syndrome | * Type I hepatorenal syndrome | ||
** [[Acute renal failure|Rapidly progressive renal failure]] | ** [[Acute renal failure|Rapidly progressive renal failure]]. | ||
** [[Serum creatinine]] levels > 2.5 mg/dl or [[creatinine clearance]] < 20 mL/min over a span of less than two weeks | ** [[Serum creatinine]] levels > 2.5 mg/dl or [[creatinine clearance]] < 20 mL/min over a span of less than two weeks. | ||
** Poor prognosis with high mortality (more than 50% after one month)<ref name="pmid12016430">{{cite journal |author=Arroyo V, Guevara M, Ginès P |title=Hepatorenal syndrome in cirrhosis: pathogenesis and treatment |journal=[[Gastroenterology]] |volume=122 |issue=6 |pages=1658–76 |year=2002 |month=May |pmid=12016430 |doi= |url=}}</ref>. | |||
Revision as of 18:03, 1 January 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aarti Narayan, M.B.B.S [2]
Overview
The hepatorenal syndrome is classified into two categories according to the severity of disease in terms of progression and clinical outcome. Type I hepatorenal syndrome has a rapid progression, whereas type II hepatorenal syndrome progresses gradually to overt renal failure. Both types of the syndrome occur in patients with fulminant hepatic failure or liver failure with cirrhosis and present with increased creatinine levels along with reduced urine output.
Classification
- Type I hepatorenal syndrome
- Rapidly progressive renal failure.
- Serum creatinine levels > 2.5 mg/dl or creatinine clearance < 20 mL/min over a span of less than two weeks.
- Poor prognosis with high mortality (more than 50% after one month)[1].
- ↑ Arroyo V, Guevara M, Ginès P (2002). "Hepatorenal syndrome in cirrhosis: pathogenesis and treatment". Gastroenterology. 122 (6): 1658–76. PMID 12016430. Unknown parameter
|month=ignored (help)