Severe hepatotoxicity on beginning propylthiouracil therapy

被引:14
作者
Lock, DR [1 ]
Sthoeger, ZM [1 ]
机构
[1] KAPLAN HOSP,DEPT INTERNAL MED B,IL-76100 REHOVOT,ISRAEL
关键词
propylthiouracil; drug-induced hepatotoxicity; reversible prolonged PTU-induced hepatotoxicity;
D O I
10.1097/00004836-199706000-00020
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We report a case of propylthiouracil (PTU)-induced cholestatic hepatotoxicity in Graves' disease that developed 1 day after beginning PTU. After clinical recovery, liver abnormalities persisted for 5 years. Percutaneous liver biopsy and the eventual normalization of enzyme levels excluded permanent liver damage as a result of PTU therapy. Thus prolonged elevation of serum enzymes is consistent with the diagnosis of PTU-induced hepatotoxicity, which may recover completely.
引用
收藏
页码:267 / 269
页数:3
相关论文
共 12 条
[1]   FULMINANT HEPATITIS DURING TREATMENT WITH PROPYLTHIOURACIL [J].
EISEN, MJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1953, 249 (20) :814-816
[2]   LIVER-DISEASE CAUSED BY PROPYLTHIOURACIL [J].
FEDOTIN, MS ;
LEFER, LG .
ARCHIVES OF INTERNAL MEDICINE, 1975, 135 (02) :319-321
[3]  
HUANG MJ, 1994, AM J GASTROENTEROL, V89, P1071
[4]   PROPYLTHIOURACIL HEPATOTOXICITY - 2 PEDIATRIC CASES AND REVIEW OF THE LITERATURE [J].
JONAS, MM ;
EIDSON, MS .
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 1988, 7 (05) :776-779
[5]   HEPATIC-INJURY DURING PROPYLTHIOURACIL THERAPY IN PATIENTS WITH HYPERTHYROIDISM - A COHORT STUDY [J].
LIAW, YF ;
HUANG, MJ ;
FAN, KD ;
LI, KL ;
WU, SS ;
CHEN, TJ .
ANNALS OF INTERNAL MEDICINE, 1993, 118 (06) :424-428
[6]  
LIMAYE A, 1987, AM J GASTROENTEROL, V82, P152
[7]  
MIHAS AA, 1976, GASTROENTEROLOGY, V70, P770
[8]   HEPATITIS AND PROPYLTHIOURACIL [J].
PARKER, LN .
ANNALS OF INTERNAL MEDICINE, 1975, 82 (02) :228-229
[9]  
PARKER W A, 1982, Clinical Pharmacy, V1, P471
[10]  
PETER SA, 1991, J NATL MED ASSOC, V83, P75