• Hao-Feng Xiong, Jing-Yuan Liu, Li-Min Guo, and Xing-Wang Li.
• Hao-Feng Xiong, Jing-Yuan Liu, Li-Min Guo, Intensive Care Unit, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
• World J. Gastroenterol. 2015 Feb 14; 21 (6): 1927-31.

AimTo evaluate the prognosis of patients with acute fatty liver of pregnancy (AFLP) 6 mo or longer after discharge.MethodsThe records of pregnant patients diagnosed with AFLP at Beijing Ditan Hospital over a 16-year period were reviewed in November 2012. Patients were monitored using abdominal ultrasound, liver and kidney functions, and routine blood examination.ResultsA total of 42 patients were diagnosed with AFLP during the study period, and 25 were followed. The mean follow-up duration was 54.5 mo (range: 6.5-181 mo). All patients were in good physical condition, but one patient had gestational diabetes. The renal and liver functions normalized in all patients after recovery, including in those with pre-existing liver or kidney failure. The ultrasound findings were normal in 12 patients, an increasingly coarsened echo-pattern and increased echogenicity of the liver in 10 patients, and mild to moderate fatty liver infiltration in 3 patients. Cirrhosis or liver nodules were not observed in any patient.ConclusionAcute liver failure and acute renal failure in AFLP patients is reversible. Patients do not require any specific long-term follow-up after recovery from AFLP if their liver function tests have normalized and they remain well.

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