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呋喃妥因所致慢性肝病。5例临床病程及转归

Nitrofurantoin-induced chronic liver disease. Clinical course and outcome of five cases.

作者信息

Iwarson S, Lindberg J, Lundin P

出版信息

Scand J Gastroenterol. 1979;14(4):497-502.

PMID:482863
Abstract

Adverse liver reactions associated with nitrofurantoin treatment are rare but important complications. Both acute and chronic liver damage have been described. The present report describes five patients who developed chronic liver disease after 1 to 3 years of continued nitrofurantoin treatment. Liver histology was consistent with chronic active hepatitis in four patients, while postnecrotic cirrhosis was observed in one case. Follow-up examinations 2 to 3 years after withdrawal of the drug showed marked improvement clinically and in most cases also histologically.

摘要

与呋喃妥因治疗相关的肝脏不良反应虽罕见但却是重要的并发症。急性和慢性肝损伤均有报道。本报告描述了5例在持续使用呋喃妥因治疗1至3年后发生慢性肝病的患者。4例患者的肝脏组织学表现符合慢性活动性肝炎,1例观察到坏死后肝硬化。停药2至3年后的随访检查显示临床症状有显著改善,大多数病例的组织学表现也有改善。

相似文献

1
Nitrofurantoin-induced chronic liver disease. Clinical course and outcome of five cases.呋喃妥因所致慢性肝病。5例临床病程及转归
Scand J Gastroenterol. 1979;14(4):497-502.
2
[Hepatic toxicity of nitrofurantoin. Cases reported to the Center for Monitoring Adverse Drug Reactions 1968-1998].[呋喃妥因的肝毒性。1968年至1998年向药物不良反应监测中心报告的病例]
Ugeskr Laeger. 1999 Nov 29;161(48):6650-2.
3
Chronic active hepatitis and severe hepatic necrosis associated with nitrofurantoin.慢性活动性肝炎及与呋喃妥因相关的严重肝坏死。
Ann Intern Med. 1980 Jan;92(1):14-9. doi: 10.7326/0003-4819-92-1-14.
4
Anicteric liver damage during nitrofurantoin medication.呋喃妥因用药期间的无黄疸型肝损伤。
Scand J Gastroenterol. 1975;10(5):501-5.
5
Nitrofurantoin-induced immune-mediated lung and liver disease.呋喃妥因诱发的免疫介导性肺和肝脏疾病。
Vojnosanit Pregl. 2012 Jun;69(6):536-40.
6
Nitrofurantoin: another cause of drug-induced chronic active hepatitis? A report of a patient with HLA-B8 antigen.呋喃妥因:药物性慢性活动性肝炎的另一个病因?一例伴有HLA - B8抗原患者的报告。
Am J Med. 1979 Jul;67(1):117-21. doi: 10.1016/0002-9343(79)90086-x.
7
[Liver damage caused by nitrofurantoin].[呋喃妥因所致肝损伤]
Ned Tijdschr Geneeskd. 1981 Jan 10;125(2):63-6.
8
Nitrofurantoin-induced liver disease. A case report.呋喃妥因所致肝病。病例报告。
J Tenn Med Assoc. 1984 Oct;77(10):584-5.
9
[Acute hepatitis and pneumonitis associated with nitrofurantoin].[与呋喃妥因相关的急性肝炎和肺炎]
Harefuah. 1990 Dec 16;119(12):427-8.
10
[Chronic active hepatitis caused by nitrofurantoin: a case report].[呋喃妥因所致慢性活动性肝炎:一例报告]
S Afr Med J. 1985 Jan 26;67(4):125-6.

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Autoimmune hepatitis induced by nitrofurantoin. The importance of the autoantibodies for an early diagnosis of immune disease.由呋喃妥因引起的自身免疫性肝炎。自身抗体在免疫疾病早期诊断中的重要性。
Clin Pract. 2012 Oct 17;2(4):e83. doi: 10.4081/cp.2012.e83. eCollection 2012 Oct 12.
2
Hepatic histological findings in suspected drug-induced liver injury: systematic evaluation and clinical associations.疑似药物性肝损伤的肝组织学发现:系统评价和临床关联。
Hepatology. 2014 Feb;59(2):661-70. doi: 10.1002/hep.26709. Epub 2013 Dec 18.
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Drug-induced Liver Injury.
药物性肝损伤
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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.
5
Nitrofurantoin rechallenge and recurrent toxicity.呋喃妥因再激发与复发性毒性。
Postgrad Med J. 1997 Aug;73(862):519-20. doi: 10.1136/pgmj.73.862.519.
6
Antibacterial-induced hepatotoxicity. Incidence, prevention and management.抗菌药物所致肝毒性。发生率、预防及管理
Drug Saf. 1996 Jul;15(1):79-85. doi: 10.2165/00002018-199615010-00007.