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甲泼尼龙导致的急性肝毒性:在考虑自身免疫的情况下应考虑这一诊断。

Acute liver toxicity due to methylprednisolone: consider this diagnosis in the context of autoimmunity.

机构信息

Service d'hépato-gastroentérologie, CHU de Limoges, 2, avenue Martin-Luther-King, 87042 Limoges, France.

出版信息

Clin Res Hepatol Gastroenterol. 2013 Feb;37(1):100-4. doi: 10.1016/j.clinre.2012.10.015. Epub 2013 Jan 11.

DOI:10.1016/j.clinre.2012.10.015
PMID:23318289
Abstract

The occurrence of corticosteroid-induced hepatitis is a rare event that has been recently described in the literature. We report the case of an acute cytolytic hepatitis in a patient treated with methylprednisolone for multiple sclerosis associated with an autoimmune thyroid dysfunction. After ruling out other etiologies, we concluded that the acute liver injury was due to steroids, and we analyzed the specific circumstances in the literature where methylprednisolone may have been responsible for acute hepatitis.

摘要

皮质类固醇诱导性肝炎的发生是一种罕见事件,最近在文献中有所描述。我们报告了一例多发性硬化症患者在接受甲基强的松龙治疗时发生的急性细胞溶解性肝炎,并伴有自身免疫性甲状腺功能障碍。在排除其他病因后,我们得出结论,急性肝损伤是由类固醇引起的,并分析了文献中甲基强的松龙可能导致急性肝炎的具体情况。

相似文献

1
Acute liver toxicity due to methylprednisolone: consider this diagnosis in the context of autoimmunity.甲泼尼龙导致的急性肝毒性:在考虑自身免疫的情况下应考虑这一诊断。
Clin Res Hepatol Gastroenterol. 2013 Feb;37(1):100-4. doi: 10.1016/j.clinre.2012.10.015. Epub 2013 Jan 11.
2
Recurrent acute hepatitis in patient receiving pulsed methylprednisolone for multiple sclerosis.接受脉冲式甲泼尼龙治疗多发性硬化症的患者出现复发性急性肝炎。
Indian J Gastroenterol. 2006 Nov-Dec;25(6):314-6.
3
High-dose methylprednisolone-induced hepatitis in a patient with multiple sclerosis: a case report and brief review of literature.大剂量甲基强的松龙诱发的多发性硬化症患者肝炎:一例报告并文献简要回顾
Neth J Med. 2013 May;71(4):199-202.
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Methylprednisolone-induced liver injury: Case report and literature review.甲基强的松龙诱导的肝损伤:病例报告与文献综述
J Dig Dis. 2016 Jan;17(1):55-62. doi: 10.1111/1751-2980.12306.
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Methylprednisolone-induced acute liver injury in a patient treated for multiple sclerosis relapse.甲基强的松龙诱发的急性肝损伤,见于一名因多发性硬化症复发接受治疗的患者。
BMJ Case Rep. 2018 Mar 5;2018:bcr-2017-223670. doi: 10.1136/bcr-2017-223670.
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Liver injury after pulsed methylprednisolone therapy in multiple sclerosis patients.脉冲甲基泼尼松龙治疗多发性硬化症患者后的肝损伤。
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Methylprednisolone liver toxicity: A new case and a French regional pharmacovigilance survey.甲泼尼龙肝毒性:1例新病例及法国某地区药物警戒调查
Clin Res Hepatol Gastroenterol. 2017 Sep;41(4):497-501. doi: 10.1016/j.clinre.2017.03.008. Epub 2017 Apr 21.
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Methylprednisolone-induced hepatotoxicity in a 16-year-old girl with multiple sclerosis.甲基强的松龙诱发一名16岁多发性硬化症女孩出现肝毒性。
BMJ Case Rep. 2018 Dec 7;11(1):e226687. doi: 10.1136/bcr-2018-226687.
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Liver injury after methylprednisolone pulses: A disputable cause of hepatotoxicity. A case series and literature review.甲泼尼龙冲击后肝损伤:一个有争议的肝毒性原因。病例系列及文献复习。
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Toxic liver injury after high-dose methylprednisolone in people with multiple sclerosis.多发性硬化症患者大剂量甲泼尼龙治疗后的肝毒性损伤。
Mult Scler Relat Disord. 2018 Oct;25:43-45. doi: 10.1016/j.msard.2018.07.021. Epub 2018 Jul 20.

引用本文的文献

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Worldwide Use of RUCAM for Causality Assessment in 81,856 Idiosyncratic DILI and 14,029 HILI Cases Published 1993-Mid 2020: A Comprehensive Analysis.1993年至2020年年中发表的81856例特异质性药物性肝损伤和14029例药物超敏反应性肝损伤病例中RUCAM在因果关系评估中的全球应用:一项综合分析
Medicines (Basel). 2020 Sep 29;7(10):62. doi: 10.3390/medicines7100062.
2
Liver injury after methylprednisolone pulses: A disputable cause of hepatotoxicity. A case series and literature review.甲泼尼龙冲击后肝损伤:一个有争议的肝毒性原因。病例系列及文献复习。
United European Gastroenterol J. 2019 Jul;7(6):825-837. doi: 10.1177/2050640619840147. Epub 2019 Mar 24.
3
Methylprednisolone-induced hepatotoxicity in a 16-year-old girl with multiple sclerosis.
甲基强的松龙诱发一名16岁多发性硬化症女孩出现肝毒性。
BMJ Case Rep. 2018 Dec 7;11(1):e226687. doi: 10.1136/bcr-2018-226687.
4
Liver injury after pulsed methylprednisolone therapy in multiple sclerosis patients.脉冲甲基泼尼松龙治疗多发性硬化症患者后的肝损伤。
Brain Behav. 2018 Jun;8(6):e00968. doi: 10.1002/brb3.968. Epub 2018 May 4.
5
Methylprednisolone-induced acute liver injury in a patient treated for multiple sclerosis relapse.甲基强的松龙诱发的急性肝损伤,见于一名因多发性硬化症复发接受治疗的患者。
BMJ Case Rep. 2018 Mar 5;2018:bcr-2017-223670. doi: 10.1136/bcr-2017-223670.
6
RUCAM in Drug and Herb Induced Liver Injury: The Update.药物及草药所致肝损伤的RUCAM:最新进展
Int J Mol Sci. 2015 Dec 24;17(1):14. doi: 10.3390/ijms17010014.
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Liver Damage and Mortality in a Male Lewis Rat of Experimental Autoimmune Encephalomyelitis.实验性自身免疫性脑脊髓炎雄性Lewis大鼠的肝损伤与死亡率
Iran J Pathol. 2015 Winter;10(1):9-16.