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.alarecre.com/Music-Is-Freedom-Google-Pixel-7-Pro-Skin-p67850/