Pérez-Roldán F, Aguirre A, Bañares R, Casado M, González-Asanza C, Alvarez E, Clemente G
Servicio de Medicina de Aparato Digestivo, Hospital General Universitario Gregorio Marañón, Madrid.
Rev Esp Enferm Dig. 1995 Feb;87(2):174-6.
We report the case of a 68-year-old male HVC+ diagnosed as cholestatic hepatitis induced by glybenclamide, following a non-insulin dependent diabetes mellitus treatment. When the drug was discontinued normal analytic parameters were obtained. However, HVC may induce more cholestatic and cytolysic changes on the hepatitis due to glybenclamide. When reviewing the literature only one similar case has been previously reported, although several disturbances in liver function tests have been described in other reports. Routine biochemical tests including liver function are indicated in patients receiving antidiabetic agents in order to make an early diagnosis of liver toxicity.
我们报告了一例68岁的男性丙肝病毒(HVC)感染者,在接受非胰岛素依赖型糖尿病治疗后,被诊断为格列本脲诱发的胆汁淤积性肝炎。停用该药物后,各项分析参数恢复正常。然而,丙肝病毒可能会使格列本脲诱发的肝炎出现更多胆汁淤积和细胞溶解变化。查阅文献发现,此前仅报道过一例类似病例,不过其他报告中也描述了一些肝功能检查的异常情况。接受抗糖尿病药物治疗的患者应进行包括肝功能在内的常规生化检查,以便早期诊断肝毒性。