Victorino R M, Silveira J C, Baptista A, de Moura M C
Postgrad Med J. 1980 May;56(655):368-70. doi: 10.1136/pgmj.56.655.368.
Hepatic injury in association with naproxen therapy is described and documented by liver biopsy in one patient. Histological findings were consistent with a drug-induced hepatitis, and cessation of therapy led to reversal of the clinical and biochemical changes. Circumstantial evidence is in favour of a hypersensitivity response to the drug rather than direct hepatotoxicity. Increased awareness of clinicians of this probably rare side effect of naproxen may help prompt identification of similar cases.
一名患者通过肝活检描述并记录了与萘普生治疗相关的肝损伤。组织学检查结果与药物性肝炎相符,停止治疗后临床和生化变化得以逆转。间接证据支持对该药物的超敏反应而非直接肝毒性。临床医生对萘普生这种可能罕见的副作用提高认识,可能有助于及时识别类似病例。