总结

• Associated with acute liver failure including cirrhosis.
• Diagnosed by excluding other causes of renal failure.
• Liver transplantation is the only definitive treatment.
• Dialysis and transjugular intrahepatic portosystemic shunts are temporising measures while awaiting liver transplantation.
• The vasopressin analogue terlipressin is very effective at reversing the condition in some cases.
• General prognosis is poor.