Abstract Vitamin A intoxication is a rare cause of liver disease. but the risk increases in patients with underlying liver dysfunction. We present a patient with Shwachman-Diamond Syndrome who developed liver fibrosis. portal hypertension and very severe hepatopulmonary syndrome as a consequence of chronic vitamin A intoxication. https://www.diegojavierfares.com/great-save-NAHMIAS-Miracle-Academy-T-shirt-Mens-Apparel-special-save/