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Acute liver failure in a patient with lung cancer
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  1. K M Jamil,
  2. T Van Hagan,
  3. J Trotter,
  4. W Cheng,
  5. N Kontorinis
  1. Department of Gastroenterology and Hepatology, Royal Perth Hospital, Perth, Western Australia, Australia
  2. Department of Medical Oncology, Royal Perth Hospital, Perth, Western Australia, Australia
  3. Department of Gastroenterology and Hepatology, Royal Perth Hospital, Perth, Western Australia, Australia
  1. 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 phosphatase 188 IU/l, albumin …

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