ABSTRACT

In the United States, there are approximately 2000 cases/year o f acute hepatic failure (AHF) in adults and children.1 The term “fulminant hepatitis” was introduced by Lucke and Mallory in 1948 to describe posttransfusion hepatitis in soldiers dying within 9 days of the onset of their illness.2 Since that time, the criteria for defining fulminant hepatic failure (FHF) have evolved due to improved understanding of the etiology, prognosis and complica­ tions of the disease. However, in spite of our improved understanding of the disease process, the definition and classification of FHF continue to remain confusing and often controversial.