Adrenal Insufficiency as a Cause of Acute Liver Failure: A Case Report

Table 3

Comparison of published papers about adrenal insufficiency and liver disorders.

Authors	Olsson et al. [3]	Boulton et al. [2]	Castiella et al. [4]	Rizvi and Kirrick [5]	Gurakuqi et al. [6]	Pang et al. [7]	This case
Publication year	1990	1995	1988	2001	2006	2011	2012
Patient characteristics	The first report in this field	The second report in this field	—	Increased liver iron and elevated liver enzymes with adrenal insufficiency	History of 10 years elevated liver enzymes	—	Severe elevated liver enzymes and liver failure associated with adrenal insufficiency
Amount of liver enzyme elevation	Mild	Mild	Mild	Mild	1.5 times more than normal	Mild	Severe
Liver biopsy result	Lymphocyte infiltration at portal region (performed in one patient)	Not performed	Not performed	Lymphocyte infiltration and increased iron deposition	Not performed	Not performed	Not performed
No of patients	4	3	1	1	1	1	1