@article {Porther250, author = {Ruth Porther and Gavin Ross and Subramaniam Nagasayi}, title = {Breathlessness in liver disease: A case of hepatopulmonary syndrome }, volume = {19}, number = {3}, pages = {250--251}, year = {2019}, doi = {10.7861/clinmedicine.19-3-250}, publisher = {Royal College of Physicians}, abstract = {Hepatopulmonary syndrome (HPS) is often not considered as a cause of breathlessness in patients with liver cirrhosis. It consists of a triad of liver disease, intrapulmonary shunting and hypoxaemia. Here we discuss HPS in a patient presenting with acute on chronic breathlessness and typical features of orthodeoxia and platypnoea. Evidence of intrapulmonary shunting on imaging was essential to making the diagnosis, which carries a poor prognosis and was an urgent indication for liver transplantation.}, issn = {1470-2118}, URL = {https://www.rcpjournals.org/content/19/3/250}, eprint = {https://www.rcpjournals.org/content/19/3/250.full.pdf}, journal = {Clinical Medicine} }