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KPV is a tripeptide made of lysine, proline, and valine, corresponding to the C-terminal segment of alpha-melanocyte-stimulating hormone (-MSH)
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patients with Wilson disease, vertically acquired hepatitis B virus infection, or autoimmune hepatitis can present with acute liver failure superimposed on chronic liver disease or even cirrhosis
Rappaport AR, Hong SJ, Scallan CD, Gitlin L, Akoopie A, Boucher GR, et al