Imatinib mesylate-induced acute hepatitis in a patient treated for gastrointestinal stromal tumour

被引:25
作者
Pariente, Alexandre [1 ]
Etcharry, Francine
Cales, Valerie
Laborde, Yves
Ferrari, Sylvie
Biour, Michel
机构
[1] Ctr Hosp, Unite HGE, F-64046 Pau, France
[2] Ctr Hosp, Unite Hepatogastroenterol, Pau, France
[3] Ctr Hosp, Lab Anat & Cytol Pathol, Pau, France
[4] Ctr Hosp, Serv Chirurg Viscerale, Pau, France
[5] Hop St Antoine, Ctr Natl Pharmacovigilance, F-75571 Paris, France
关键词
drug-induced liver injury; hepatotoxicity; GIST; imatinib;
D O I
10.1097/01.meg.0000216941.42306.0e
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We report the first case of hepatocellular injury occurring in a patient treated for metastatic gastrointestinal stromal tumour (GIST) with imatinib mesylate, with two positive rechallenges including one with 2.5% of the current therapeutic dosage. The patient could be treated later with sunitinib without liver toxicity. Grade 3-4 liver toxicity could occur in one out of 40 treated patients with imatinib for GIST, and fatalities have been reported. Regular monitoring of liver function tests is essential in patients treated with imatinib.
引用
收藏
页码:785 / 787
页数:3
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