Patti Ravikaran, Sinha Ankur, Sharma Shaurya, Yoon Taek Sang, Kupfer Yizhak
Internal Medicine, Maimonides Medical Center, Brooklyn, USA.
Pulmonary and Critical Care, Maimonides Medical Center, Brooklyn, USA.
Cureus. 2019 May 28;11(5):e4769. doi: 10.7759/cureus.4769.
Medications have been known to cause adverse drug reactions that affect various organs; these are mostly reversible reactions that improve with the cessation of the culprit medication. Losartan is an angiotensin-one receptor blocker which has been approved by the Food and Drug Administration (FDA) for the treatment of arterial hypertension. Fatigue, anemia, weakness, and cough are some of the common adverse effects of losartan. Acute hepatic injury has rarely been reported as an adverse effect of losartan. We report a case of a 61-year-old female with severe hepatic injury secondary to losartan use. None of the cases reported so far had such a high elevation of liver enzymes as seen in our patient.
已知药物会引起影响各个器官的药物不良反应;这些大多是可逆反应,停用致病药物后会有所改善。氯沙坦是一种血管紧张素受体阻滞剂,已获美国食品药品监督管理局(FDA)批准用于治疗动脉高血压。疲劳、贫血、虚弱和咳嗽是氯沙坦的一些常见不良反应。急性肝损伤作为氯沙坦的不良反应很少被报道。我们报告一例61岁女性因使用氯沙坦继发严重肝损伤的病例。迄今为止报告的所有病例中,均未出现像我们患者那样肝酶如此大幅升高的情况。