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Updated: Jul 14, 2026

Induction of Drug-Induced, Autoimmune Hepatitis in BALB/c Mice for the Study of Its Pathogenic Mechanisms
Published on: May 29, 2020
Desflurane hepatitis associated with hapten and autoantigen-specific IgG4 antibodies
James S Anderson1, Noel R Rose, Jackie L Martin
1Anesthesia Consultants Associated, El Paso, Texas, USA.
Background:
Three cases of drug-induced liver injury (DILI) have been reported after desflurane anesthesia. However, no previous reports have detected serum autoantibodies such as that reported with DILI from halothane or isoflurane.
Methods And Results:
We describe the first documentation of cytochrome P450 2E1 IgG4 autoantibodies, as well as 58 kDa endoplasmic reticulum protein and trifluoroacetyl chloride hapten-specific IgG4 antibodies, in a patient who developed DILI after desflurane anesthesia.
Conclusions:
These findings suggest that allergic and autoimmune mechanisms have critical roles in the development of desflurane DILI.
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