Four Cases of Fulminant Hepatitis Treated by Plasma Exchange

Abstract

Plasma exchange was performed in 4 cases with fulminant hepatitis. Two out of 4 cases, who were 27 year-old female and 37 year-old female with excellent prognostic score by Takahashi, survived after plasma exchange therapy. Other two cases, 41 year-old male 54 year-old female, failed to recover from hepatic coma and died in spite of a large amount of plasma exchange. The prognostic scores in these two cases were poor. Treatment by plasma exchange seems to be effective in the cases of fulminant hepatitis who have more than +0.38 Takahashi's prognostic score.