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罂粟碱诱导的慢性肝病

Papaverine-induced chronic liver disease.

作者信息

Poncin E, Silvain C, Touchard G, Barbier J, Beauchant M

出版信息

Gastroenterology. 1986 Apr;90(4):1051-3. doi: 10.1016/0016-5085(86)90887-5.

DOI:10.1016/0016-5085(86)90887-5
PMID:3949106
Abstract

The case history of a women with jaundice and laboratory evidence of chronic active hepatitis and cirrhosis is reported. The patient had taken papaverine for 6 yr for cerebral arterial disease. Jaundice improved after the drug was discontinued but reappeared when papaverine therapy was reintroduced. Antinuclear antibody and smooth muscle antibody were present. Clinical manifestations disappeared and laboratory results again returned to normal upon withdrawal of papaverine. This case suggests that papaverine should be added to the list of drugs known to produce chronic active hepatitis and cirrhosis.

摘要

报告了一名患有黄疸且有慢性活动性肝炎和肝硬化实验室证据的女性病例史。该患者因脑动脉疾病服用罂粟碱6年。停药后黄疸改善,但重新引入罂粟碱治疗时黄疸再次出现。存在抗核抗体和平滑肌抗体。停用罂粟碱后,临床表现消失,实验室检查结果再次恢复正常。该病例提示,罂粟碱应被列入已知可导致慢性活动性肝炎和肝硬化的药物名单中。

相似文献

1
Papaverine-induced chronic liver disease.罂粟碱诱导的慢性肝病
Gastroenterology. 1986 Apr;90(4):1051-3. doi: 10.1016/0016-5085(86)90887-5.
2
[Hepatitis with rapid evolution to cirrhosis: role of papaverine].[迅速进展为肝硬化的肝炎:罂粟碱的作用]
Gastroenterol Clin Biol. 1990;14(11):896-7.
3
[Chronic hepatitis as complication of cirrhosis, due to papaverine].
Gastroenterol Clin Biol. 1981;5(8-9):818-9.
4
[Oxyphenisatin, a laxative responsible for chronic hepatitis and cirrhosis, still marketed in France (author's transl)].[奥昔芬净,一种导致慢性肝炎和肝硬化的泻药,仍在法国销售(作者译)]
Nouv Presse Med. 1979 Oct 1;8(37):2955-8.
5
Papaverine and hepatotoxicity.罂粟碱与肝毒性。
Postgrad Med J. 1980 Jul;56(657):488-90. doi: 10.1136/pgmj.56.657.488.
6
Elevations in serum transaminases and alkaline phosphatase secondary to papaverine hydrochloride.
Drug Intell Clin Pharm. 1981 Feb;15(2):127-9. doi: 10.1177/106002808101500209.
7
[Chronic hepatitis after long-term administration of papaverine (author's transl)].长期服用罂粟碱后的慢性肝炎(作者译)
Gastroenterol Clin Biol. 1978 Mar;2(3):305-8.
8
Papaverine revisited as a hepatotoxin.重新审视罂粟碱作为一种肝毒素的情况。
N Engl J Med. 1969 Dec 11;281(24):1364-5. doi: 10.1056/NEJM196912112812413.
9
Pantoprazole-induced autoimmune chronic hepatitis.泮托拉唑致自身免疫性慢性肝炎。
Liver Int. 2018 Jun;38(6):995-999. doi: 10.1111/liv.13737. Epub 2018 Mar 31.
10
Hepatotoxicity due to treatment with papaverine. Report of four cases.罂粟碱治疗所致肝毒性。4例报告。
N Engl J Med. 1969 Dec 11;281(24):1333-5. doi: 10.1056/NEJM196912112812404.

引用本文的文献

1
Drug-induced autoimmune-like hepatitis.药物诱导的自身免疫性肝炎。
Dig Dis Sci. 2011 Apr;56(4):958-76. doi: 10.1007/s10620-011-1611-4. Epub 2011 Feb 16.
2
Autoimmune hepatitis and thyroiditis associated with rifampin and pyrazinamide prophylaxis: an unusual reaction.与利福平及吡嗪酰胺预防性用药相关的自身免疫性肝炎和甲状腺炎:一种罕见反应。
Dig Dis Sci. 2005 Jan;50(1):207-11. doi: 10.1007/s10620-005-1302-0.
3
Drug-induced "allergic hepatitis".药物性“过敏性肝炎”。
Clin Rev Allergy Immunol. 1995 Fall;13(3):223-44. doi: 10.1007/BF02771763.
4
Toxicity assessment of papaverine hydrochloride and papaverine-derived metabolites in primary cultures of rat hepatocytes.盐酸罂粟碱及其代谢产物在原代大鼠肝细胞培养中的毒性评估
In Vitro Cell Dev Biol. 1990 May;26(5):515-24. doi: 10.1007/BF02624095.