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Fulminant hepatitis is a rare, sudden, and severe form of liver inflammation characterized by extensive liver cell death (necrosis). This rapid destruction of liver tissue can occur within days or weeks, often in individuals with viral hepatitis, particularly hepatitis B.1

The pathology involves massive hepatocellular damage, leading to a rapid decline in liver function. Symptoms can include rapidly increasing jaundice, spontaneous bleeding due to reduced clotting factors, and neurological changes like confusion or coma, caused by the buildup of protein breakdown products in the brain.1

While most acute hepatitis cases are self-limiting, fulminant hepatitis is a life-threatening complication. Treatment options are limited, with liver transplantation being the primary intervention for fulminant hepatic failure.1

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