Transgender character actress Alexis Arquette died from a heart attack and battled HIV for 29 years, her death certificate has revealed.

The 47-year-old sibling of actors David, Rosanna, Richmond and Patricia Arquette died on September 11 in Los Angeles.

The death certificate lists cardiac arrest as her immediate cause of death and said that Arquette suffered a bacterial infection three weeks before her death. HIV is also noted as an underlying cause of death.

Arquette memorably played a trans-sex worker in Last Exit to Brooklyn and a Boy George impersonator in The Wedding Singer.

In a statement, the Arquettes said their sister’s career “was cut short, not by her passing, but by her decision to live her truth and her life as a transgender woman”.

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