Statistics

 array:22 [
  "pii" => "S1665268124002631"
  "issn" => "16652681"
  "doi" => "10.1016/j.aohep.2024.101469"
  "estado" => "S300"
  "fechaPublicacion" => "2024-02-01"
  "aid" => "101292.82"
  "copyrightAnyo" => "2024"
  "documento" => "simple-article"
  "crossmark" => 0
  "subdocumento" => "abs"
  "cita" => "Ann Hepatol. 2024;29 Supl 2:"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:17 [
    "pii" => "S1665268124002643"
    "issn" => "16652681"
    "doi" => "10.1016/j.aohep.2024.101470"
    "estado" => "S300"
    "fechaPublicacion" => "2024-02-01"
    "aid" => "101292.83"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "abs"
    "cita" => "Ann Hepatol. 2024;29 Supl 2:"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Effect of the combination of orlistat and l-carnitine on the quality of life (sf-36) in 16 overweigth patients. a preliminary result"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => "en"
      "contieneResumen" => array:1 [
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Saúl A. Vera-Nungaray, Miguel Y. Carmona-Castillo, María F. Higuera-de la Tijera, Livan Delgado-Roche, Evelyn Altamirano-Castillo, Nancy G. Vega-López, Uriel Gutiérrez-Estrada, Santiago Camacho-Hernández"
          "autores" => array:8 [
            0 => array:2 [
              "nombre" => "Saúl A."
              "apellidos" => "Vera-Nungaray"
            ]
            1 => array:2 [
              "nombre" => "Miguel Y."
              "apellidos" => "Carmona-Castillo"
            ]
            2 => array:2 [
              "nombre" => "María F."
              "apellidos" => "Higuera-de la Tijera"
            ]
            3 => array:2 [
              "nombre" => "Livan"
              "apellidos" => "Delgado-Roche"
            ]
            4 => array:2 [
              "nombre" => "Evelyn"
              "apellidos" => "Altamirano-Castillo"
            ]
            5 => array:2 [
              "nombre" => "Nancy G."
              "apellidos" => "Vega-López"
            ]
            6 => array:2 [
              "nombre" => "Uriel"
              "apellidos" => "Gutiérrez-Estrada"
            ]
            7 => array:2 [
              "nombre" => "Santiago"
              "apellidos" => "Camacho-Hernández"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1665268124002643?idApp=UINPBA00004N"
    "url" => "/16652681/00000029000000S2/v2_202404250742/S1665268124002643/v2_202404250742/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "S166526812400262X"
    "issn" => "16652681"
    "doi" => "10.1016/j.aohep.2024.101468"
    "estado" => "S300"
    "fechaPublicacion" => "2024-02-01"
    "aid" => "101292.81"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "abs"
    "cita" => "Ann Hepatol. 2024;29 Supl 2:"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Methyl-group donor supplementation beneficial effects on metabolic, histological, and inflammatory parameters in a murine model of alcoholic steatohepatitis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => "en"
      "contieneResumen" => array:1 [
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Carolina Diaz-Canul, Angel O. Vázquez-Esqueda, Rebeca Rosas-Campos, Marina Galicia-Moreno, Armendariz-Borunda Juan, Ana Sandoval-Rodriguez"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Carolina"
              "apellidos" => "Diaz-Canul"
            ]
            1 => array:2 [
              "nombre" => "Angel O."
              "apellidos" => "Vázquez-Esqueda"
            ]
            2 => array:2 [
              "nombre" => "Rebeca"
              "apellidos" => "Rosas-Campos"
            ]
            3 => array:2 [
              "nombre" => "Marina"
              "apellidos" => "Galicia-Moreno"
            ]
            4 => array:2 [
              "nombre" => "Armendariz-Borunda"
              "apellidos" => "Juan"
            ]
            5 => array:2 [
              "nombre" => "Ana"
              "apellidos" => "Sandoval-Rodriguez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S166526812400262X?idApp=UINPBA00004N"
    "url" => "/16652681/00000029000000S2/v2_202404250742/S166526812400262X/v2_202404250742/en/main.assets"
  ]
  "en" => array:9 [
    "idiomaDefecto" => true
    "titulo" => "Passenger lymphocyte syndrome, an unusual cause of anemia after liver transplantation"
    "tieneTextoCompleto" => true
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Alejandro Gutierrez-Castillo, Héctor Cabrera-Larios, Fernando Segovia-Rivera, Rafael Valdez-Ventura, Nayelli C. Flores-García"
        "autores" => array:5 [
          0 => array:3 [
            "nombre" => "Alejandro"
            "apellidos" => "Gutierrez-Castillo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "aff0001"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "H&#233;ctor"
            "apellidos" => "Cabrera-Larios"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "aff0001"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Fernando"
            "apellidos" => "Segovia-Rivera"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">2</span>"
                "identificador" => "aff0002"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Rafael"
            "apellidos" => "Valdez-Ventura"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "aff0001"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Nayelli C&#46;"
            "apellidos" => "Flores-Garc&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">3</span>"
                "identificador" => "aff0003"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Internal Medicine&#44; National Institute of Medical Sciences and Nutrition Salvador Zubir&#225;n&#44; Meixico City"
            "etiqueta" => "1"
            "identificador" => "aff0001"
          ]
          1 => array:3 [
            "entidad" => "Geriatrics&#44; National Institute of Medical Sciences and Nutrition Salvador Zubir&#225;n"
            "etiqueta" => "2"
            "identificador" => "aff0002"
          ]
          2 => array:3 [
            "entidad" => "Gastroenterology&#44; National Institute of Medical Sciences and Nutrition Salvador Zubir&#225;n"
            "etiqueta" => "3"
            "identificador" => "aff0003"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="para0005" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Ethical statement</span></p><p id="para0006" class="elsevierStylePara elsevierViewall">The identity of the patients is protected&#46; Consentment was obtained&#46;</p><p id="para0007" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Declaration of interests</span></p><p id="para0008" class="elsevierStylePara elsevierViewall">None</p><p id="para0009" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Funding</span></p><p id="para0010" class="elsevierStylePara elsevierViewall">None</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "tieneResumen" => true
    "resumen" => array:1 [
      "en" => array:2 [
        "resumen" => "<span id="abss0001" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0001">Introduction and Objectives</span><p id="spara001" class="elsevierStyleSimplePara elsevierViewall">The prevalence of anemia after liver transplantation ranges from 4&#46;3&#37; to 28&#46;2&#37;&#46; Causes that occur in the first two weeks include bleeding&#44; sepsis&#44; medications&#44; and hemolysis&#46; Immune hemolysis represents less than 1&#37; of the cases and includes graft-versus-host disease and hemolysis associated with ABO incompatibility&#46; We present a case of passenger lymphocyte syndrome as a cause of immune hemolytic anemia two weeks after a liver transplant&#46;</p></span> <span id="abss0002" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0002">Materials and Patients</span><p id="spara002" class="elsevierStyleSimplePara elsevierViewall">A 43-year-old woman&#44; blood group A&#43;&#44; with a history of HCV-related liver cirrhosis and BCLC-A hepatocellular carcinoma&#44; was chosen for a liver transplant&#46; Surgery was uneventful&#44; requiring the transfusion of an O&#43; blood unit&#46; The postoperative evolution was carried out without complications&#46; On day 10&#44; after the transplant&#44; she presented a drop of 3 g&#47;dL in hemoglobin&#44; leukocytosis&#44; elevated acute phase reactants&#44; and mixed hyperbilirubinemia&#46; An esophagogastroduodenoscopy and colonoscopy showed no active bleeding&#46; The hemolysis profile showed a decrease in the haptoglobin value and an increase in DHL&#44; negative Coombs&#44; without schistocytes&#46; An MRCP was requested&#44; with no evidence of bile leakage or active bleeding&#46; Because of the suspicion of hemolysis due to drugs&#44; tacrolimus was changed to mycophenolate mofetil&#44; and because of possible hemolysis due to sepsis&#44; broad-spectrum antibiotic coverage was added without improvement&#46; On day 14&#44; there was a suspicion of transient lymphocyte syndrome&#46; Isohemagglutinin levels were requested and became positive&#44; and two O&#43; blood units were transfused&#46; The following day&#44; she presented a significant improvement in all laboratory parameters&#44; and on day 20 she was discharged from the hospital without any abnormality in her laboratory parameters&#46;</p></span> <span id="abss0003" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0003">Results</span><p id="spara003" class="elsevierStyleSimplePara elsevierViewall">In our management of hemolytic anemia after liver transplantation&#44; two theories initially emerged&#58; 1&#41; Hemolysis due to tacrolimus&#44; for which it was suspended and changed to mycophenolate mofetil&#44; and 2&#41; Hemolysis due to sepsis&#44; due to leukocytosis and inflammation&#44; initiating coverage with meropenem and vancomycin&#46; But without improvement after both interventions&#46; Finally&#44; due to suspicion of transient lymphocyte syndrome&#44; isohemagglutitins were requested and were positive&#44; and after the transfusion of 2 O&#43; blood units&#44; containing anti-A&#43; antibodies&#44; she showed improvement&#44; confirming the diagnosis&#46;</p></span> <span id="abss0004" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0004">Conclusions</span><p id="spara004" class="elsevierStyleSimplePara elsevierViewall">In the passenger lymphocyte syndrome&#44; there is a donor B lymphocyte production of antibodies causing a primary or secondary response to recipient erythrocytes&#46; The incidence is higher in the heart-lung transplant&#44; followed by liver transplantation&#46; The risk also increases according to the donor-recipient ABO mismatch&#44; being more common with group O donors and group A recipient &#40;61&#37;&#41;&#44; followed by group O donors and group B recipients &#40;22&#37;&#41;&#46; The clinical picture is characterized by fever&#44; diarrhea&#44; rash and hemolysis&#46; The hemolysis usually occurs on days 3 to 24 after the liver transplantation and tends to be mild and self-limited&#46; The diagnosis is made when the recipient had a positive direct antiglobulin test and there were donor antibodies in the serum against the recipient&#39;s red blood cell antigens&#46; Treatment options include the transfusion of O red blood cell units and&#44; in cases of severe hemolysis&#44; immunosuppressors or plasmapheresis&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abss0001"
            "titulo" => "Introduction and Objectives"
          ]
          1 => array:2 [
            "identificador" => "abss0002"
            "titulo" => "Materials and Patients"
          ]
          2 => array:2 [
            "identificador" => "abss0003"
            "titulo" => "Results"
          ]
          3 => array:2 [
            "identificador" => "abss0004"
            "titulo" => "Conclusions"
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/16652681/00000029000000S2/v2_202404250742/S1665268124002631/v2_202404250742/en/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/16652681/00000029000000S2/v2_202404250742/S1665268124002631/v2_202404250742/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1665268124002631?idApp=UINPBA00004N"
]