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达格列净相关肝毒性伴再激发试验阳性

Dapagliflozin-Associated Hepatotoxicity With a Positive Rechallenge.

作者信息

Alawadhi Yusuf, Abdolall Ali, Cunningham Christopher, Valente Megan, Fontana Robert J, Balakumaran Kathir

机构信息

Department of Medicine Michigan Medicine, Ann Arbor, MI.

Summa Health System/NEOMED, Cleveland, OH.

出版信息

ACG Case Rep J. 2025 Aug 4;12(8):e01799. doi: 10.14309/crj.0000000000001799. eCollection 2025 Aug.

Abstract

Sodium glucose cotransporter 2 inhibitors are generally safe medications, with labelled indications for diabetes mellites, heart failure, and chronic kidney disease. We present a case of suspected dapagliflozin-induced liver injury in a 68-year-old man who presented with 2 weeks of upper abdominal pain, myalgias, and transaminitis following a prior episode of unexplained hepatitis. It was determined that the patient's liver injury with jaundice was likely due to dapagliflozin with a Revised Electronic Causality Assessment Method (RECAM) score of 9 (Highly likely). Laboratory findings and clinical symptoms resolved after discontinuing dapagliflozin during follow up.

摘要

钠-葡萄糖协同转运蛋白2抑制剂通常是安全的药物,其标签适应证为糖尿病、心力衰竭和慢性肾脏病。我们报告一例68岁男性疑似达格列净所致肝损伤的病例,该患者在先前一次不明原因肝炎发作后出现了2周的上腹部疼痛、肌痛和转氨酶升高。经判定,该患者伴有黄疸的肝损伤很可能是由达格列净引起的,采用修订后的电子因果关系评估方法(RECAM)评分为9分(极有可能)。随访期间停用达格列净后,实验室检查结果和临床症状均得到缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b11/12321447/ce1348ecce6c/ac9-12-e01799-g001.jpg

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