Case Report
Chronic Hepatitis C with Cyanosis
Table 1
Differential diagnosis of hepatopulmonary syndrome.
| | Parameter | HPS | PPH | HHTS | HH | Pneumonia |
| History | Liver disease | + | + | +/- | + | +/- | Epistaxis | +/- | +/- | + | +/- | - | Genetic predisposition | +/- | +/- | + (AD) | - | - |
| Physical examination | Cyanosis | + | - | - | - | Usually - | Telangiectasia | +/- | +/- | + | +/- | - | Hypoxemia | Severe | Mild | +/- | Mild | +/- | Other findings | Platypnea | Loud P2 ↑ JVD | | Unilateral ↓ air entry | Dullness |
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HPS: hepatopulmonary syndrome, PPH: portopulmonary hypertension, HHS: hereditary Hemorrhagic Telangiectasia Syndrome, HH: Hepatic Hydrothorax, AD: autosomal dominant, JVD: jugular venous distension.
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