Liver Failure

Liver failure is severe loss of liver function. Acute liver failure develops over days to weeks in someone without known liver disease; chronic liver failure follows long-term liver damage. Both are life-threatening.

Quick Facts

  • ICD-10: K72
  • Severity: Life-threatening
  • Cure: Sometimes liver transplant

Emergency Warning Signs

Seek emergency care for:
  • Confusion, drowsiness, or personality changes
  • Yellowing of skin or eyes (jaundice)
  • Vomiting blood or passing black stools
  • Severe abdominal pain or swelling
  • Easy bruising or bleeding
  • Suspected acetaminophen overdose

Common Causes

Acute liver failure

  • Acetaminophen overdose (most common in US)
  • Viral hepatitis
  • Medication or supplement reactions
  • Mushroom poisoning
  • Autoimmune hepatitis
  • Wilson's disease

Chronic liver failure

  • Cirrhosis from alcohol, hepatitis B or C, fatty liver disease
  • Biliary disorders
  • Genetic conditions

Treatment

  • Hospital intensive care
  • N-acetylcysteine for acetaminophen overdose
  • Lactulose for hepatic encephalopathy
  • Management of complications (fluid overload, bleeding, infection)
  • Liver transplantation for severe cases
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • American Association for the Study of Liver Diseases. Acute Liver Failure Guidelines.