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特比萘芬诱发的胆汁淤积性肝病。

Terbinafine-induced cholestatic liver disease.

作者信息

Lazaros G A, Papatheodoridis G V, Delladetsima J K, Tassopoulos N C

机构信息

First Department of Medicine, Western Attica General Hospital, Athens, Greece.

出版信息

J Hepatol. 1996 Jun;24(6):753-6. doi: 10.1016/s0168-8278(96)80273-x.

DOI:10.1016/s0168-8278(96)80273-x
PMID:8835752
Abstract

Hepatobiliary disorders associated with orally administered terbinafine have rarely been reported. We describe a case of prolonged terbinafine-induced cholestatic liver disease. Extrahepatic cholestasis, viral hepatitis and autoimmune liver disorders were excluded. The histological findings of marked cholestasis without evidence of extrahepatic biliary obstruction or acute hepatitis were compatible with the diagnosis of drug-induced liver disease. Biochemical parameters of liver cell damage returned to normal levels 6 months later.

摘要

与口服特比萘芬相关的肝胆疾病鲜有报道。我们描述了一例由特比萘芬引起的胆汁淤积性肝病,病程迁延。已排除肝外胆汁淤积、病毒性肝炎和自身免疫性肝病。显著胆汁淤积的组织学表现,且无肝外胆管梗阻或急性肝炎的证据,符合药物性肝病的诊断。6个月后肝细胞损伤的生化指标恢复至正常水平。

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Terbinafine-induced cholestatic liver disease.特比萘芬诱发的胆汁淤积性肝病。
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引用本文的文献

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A curious case of cholestasis: oral terbinafine associated with cholestatic jaundice and subsequent erythema nodosum.一例胆汁淤积的罕见病例:口服特比萘芬与胆汁淤积性黄疸及随后的结节性红斑相关。
BMJ Case Rep. 2014 Dec 5;2014:bcr2014205331. doi: 10.1136/bcr-2014-205331.
2
Systematic review of severe acute liver injury caused by terbinafine.特比萘芬致严重急性肝损伤的系统评价
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Terbinafine-induced hepatitis and pancytopenia.特比萘芬诱发的肝炎和全血细胞减少症。
Dig Dis Sci. 2001 Aug;46(8):1714-6. doi: 10.1023/a:1010657605476.
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A cohort study on the risk of acute liver injury among users of ketoconazole and other antifungal drugs.一项关于酮康唑及其他抗真菌药物使用者急性肝损伤风险的队列研究。
Br J Clin Pharmacol. 1999 Dec;48(6):847-52. doi: 10.1046/j.1365-2125.1999.00095.x.
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Terbinafine. An update of its use in superficial mycoses.特比萘芬。其在浅表真菌病治疗中的应用进展
Drugs. 1999 Jul;58(1):179-202. doi: 10.2165/00003495-199958010-00018.
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Terbinafine-induced prolonged cholestasis with reduction of interlobular bile ducts.特比萘芬引起的伴有小叶间胆管减少的长期胆汁淤积。
Dig Dis Sci. 1997 Jul;42(7):1486-8. doi: 10.1023/a:1018870828038.