González Pérez J A, Calvo Catala J, Herrera Bataller A, Hortelano Martínez E, Folgado Montesinos J, López Maldonado M D
Servicio Medicina Interna, Hospital General Universitario, Valencia.
An Med Interna. 1990 Sep;7(9):477-9.
A case of a patient with rheumatoid arthritis (RA) of long evolution associated to dry syndrome, who developed a dissociated cholestasis after parenteral administration of gold salts, is suppression of gold salts. We comment on the clinical, biochemical, and histological features of intrahepatic cholestasis related to gold salts, as well as the evolution and the necessary criteria in order to make the diagnosis. We highlight the normal level of bilirubin, comparing it to that described in the literature.
一例患有长期类风湿关节炎(RA)并伴有干燥综合征的患者,在肠胃外注射金盐后发生了分离性胆汁淤积,现停用金盐。我们对与金盐相关的肝内胆汁淤积的临床、生化和组织学特征进行了评论,以及其演变情况和做出诊断所需的标准。我们强调了胆红素的正常水平,并将其与文献中描述的水平进行了比较。