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Acquired hepatocerebral degeneration: full recovery after liver transplantation
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  • Published on:
    Acquired hepatocerebral degeneration syndrome - Authors' response

    Dear Editor,

    We thank Dr Mark Lewis for his interest in our paper,[1] but his comments deserve some replies. He writes that we suggest that the pathogenesis of the acquired hepatocerebral degeneration syndrome (AHD) is likely to be related to repeated episodes of hepatic encephalopathy. This is incorrect. We did not suggest any pathogenesis for AHD, remarking that its pathogenesis is still unclear. We only refer...

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    Conflict of Interest:
    None declared.
  • Published on:
    Acquired hepatocerebral degeneration syndrome
    • Mark Lewis, Clinical Research Fellow in Neurology and Liver Transplantation
    Dear Editor,

    I read with interest the recent article by Stracciari et al.[1] They suggest that the pathogenesis of the acquired hepatocerebral degeneration syndrome (AHCD) is likely to be related to repeated episodes of hepatic encephalopathy; however, by their own admission there are cases where no such episodes have occurred.[2] Assuming therefore that these “never encephalopathic” cases are manifestations of the sa...

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    Conflict of Interest:
    None declared.