Caring for someone with this diagnosis? Eleplan keeps diagnoses, medications, documents and every specialist in one plan.
Start free with EleplanAcute liver failure
ORPHA:90062Clinical syndrome
Also called Acute hepatic failure · Fulminant hepatic failure
What it is
A rare hepatic disease characterized by acute onset of severe liver dysfunction without evidence of underlying chronic liver disease. Patients present with nonspecific symptoms like jaundice, upper right abdominal pain, nausea, vomiting, pruritus, fatigue, and fever. The condition may rapidly progress to hepatic encephalopathy, coagulopathy, and life-threatening multiorgan failure. Liver biopsy typically shows massive hepatic necrosis.
Key facts
- Prevalence
- 1-5 / 10 000 (Europe)
- Age of onset
- Adolescent, Adult, Childhood, Elderly, Infancy
- Inheritance
- Not applicable
- Classified as
- Clinical syndrome
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
4Common30–79%
24- Abnormality of the coagulation cascade
- Abnormal pattern of respiration
- Abnormal respiratory system physiology
- Adrenal insufficiency
- Agitation
- Bruising susceptibility
- Confusion
- Diarrhea
- Drowsiness
- Emotional lability
- Hepatic necrosis
- Hepatic periportal necrosis
- Hyperammonemia
- Hypoglycemia
- Hypotension
- Increased factor VIII activity
- Nausea
- Prolonged prothrombin time
- Reduced coagulation factor V activity
- Reduced factor VII activity
- Reduced factor X activity
- Slurred speech
- Thrombocytopenia
- Vomiting
Sometimes5–29%
22and 14 more in this range
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
Powered by Eleplan
A rare diagnosis is just the start. Eleplan keeps the whole care plan in one place.
Diagnoses, medications, documents, appointments, and the whole care team — organized and always in sync, so you are not retelling the same story to every new specialist. With Ellie, your AI care assistant, on top of it. Free to start.