TERBINAFINE-ASSOCIATED HEPATIC-INJURY

被引:30
作者
VANTWOUT, JW
HERRMANN, WA
DEVRIES, RA
STRICKER, BHC
机构
[1] BRONOVO HOSP,DEPT INTERNAL MED & DERMATOL,THE HAGUE,NETHERLANDS
[2] RIJNSTATE HOSP,DEPT INTERNAL MED,ARNHEM,NETHERLANDS
[3] ACAD HOSP ROTTERDAM DIJKZIGT,DEPT INTERNAL MED 2,ROTTERDAM,NETHERLANDS
[4] NETHERLANDS CTR MONITORING ADVERSE RESCT DRUGS,RIJSWIJK,NETHERLANDS
关键词
ANTIFUNGALS; HEPATOTOXICITY; ONYCHOMYCOSIS; TERBINAFINE;
D O I
10.1016/S0168-8278(94)80146-0
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We describe two cases of terbinafine-associated hepatic injury, in which a mixed cholestatic-hepatocellular type of hepa titis was present. In both cases extrahepatic cholestasis and viral hepatitis were excluded and involvement of other drugs was unlikely. In the first patient all abnormalities have disappeared, but in the second patient alkaline phosphatase, aminotransferase and gamma-glutamyl transferase levels have remained elevated (follow up 3 months after cessation of treatment with terbinafine). Most likely, the terbinafine-associated hepatic injury in these patients was caused by an idiosyncratic rather than a direct hepatotoxic reaction. (C) Journal of Hepatology.
引用
收藏
页码:115 / 117
页数:3
相关论文
共 8 条
[1]   SHORT-TERM TREATMENT OF DERMATOPHYTE ONYCHOMYCOSIS WITH TERBINAFINE [J].
GOODFIELD, MJD ;
ANDREW, L ;
EVANS, EGV .
BRITISH MEDICAL JOURNAL, 1992, 304 (6835) :1151-1154
[2]  
Jensen J, 1990, J DERMATOLOG TREAT, V1, P15
[3]   HEPATIC-INJURY ASSOCIATED WITH ITRACONAZOLE [J].
LAVRIJSEN, APM ;
BALMUS, KJ ;
NUGTERENHUYING, WM ;
ROLDAAN, AC ;
VANTWOUT, JW ;
STRICKER, BHC .
LANCET, 1992, 340 (8813) :251-252
[4]   HEPATITIS ASSOCIATED WITH TERBINAFINE TREATMENT [J].
LOWE, G ;
GREEN, C ;
JENNINGS, P .
BRITISH MEDICAL JOURNAL, 1993, 306 (6872) :248-248
[5]   LOSS OF TASTE AND TERBINAFINE [J].
OTTERVANGER, JP ;
STRICKER, BHC .
LANCET, 1992, 340 (8821) :728-728
[6]   KETOCONAZOLE-ASSOCIATED HEPATIC-INJURY - A CLINICOPATHOLOGICAL STUDY OF 55 CASES [J].
STRICKER, BHC ;
BLOK, APR ;
BRONKHORST, FB ;
VANPARYS, GE ;
DESMET, VJ .
JOURNAL OF HEPATOLOGY, 1986, 3 (03) :399-406
[7]  
VANDERSCHROEFF JG, 1992, BRIT J DERMATOL, V126, P36, DOI 10.1111/j.1365-2133.1992.tb00008.x
[8]  
Villers V, 1990, J DERMATOL TREAT S2, V1, P33