Article Text

Download PDFPDF
Spontaneous improvement in a patient with the hepatopulmonary syndrome assessed by serial exercise tests.
  1. K B Saunders,
  2. S S Fernando,
  3. H R Dalton,
  4. A Joseph
  1. Department of Medicine, St George's Hospital and Medical School, London.


    A 37 year old patient with chronic active hepatitis progressing to cirrhosis presented with increasing breathlessness and was found to be hypoxic with finger clubbing. A progressive exercise study with measurement of oxygen saturation (SaO2) showed abnormally high ventilation and desaturation to 81% at 100 W. Serial studies over nearly two years showed, first, deterioration, then improvement with lower ventilation and higher saturation levels at all work loads. This could not be correlated with any change in treatment with azathioprine, prednisolone, or propranolol.

    Statistics from

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.