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Related Concept Videos

Hepatitis01:25

Hepatitis

Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver. The...
Myasthenia Gravis: Overview and Treatment01:20

Myasthenia Gravis: Overview and Treatment

Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which leads...
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Viral Hepatitis I: Introduction

Viral hepatitis is an inflammatory condition of the liver caused by infection with hepatotropic viruses, most commonly hepatitis A, B, C, D, and E. Despite variations in structure and transmission, all viruses mentioned infect hepatocytes and provoke immune responses that can hinder liver function. Additionally, some non-hepatotropic viruses can also lead to hepatic inflammation.Hepatitis A VirusHepatitis A virus (HAV) is transmitted through the fecal–oral route, typically by ingestion of food...
Myasthenia Gravis ll: Pathophysiology01:22

Myasthenia Gravis ll: Pathophysiology

The disease process of myasthenia gravis begins at the neuromuscular junction, where antibodies attack key proteins needed for muscle activation. This immune reaction weakens signal transmission, leading to the characteristic muscle fatigue and weakness that define the condition.Immune-Mediated DamageIn most individuals, antibodies target acetylcholine receptors (AChRs) on the postsynaptic membrane of muscle cells. By blocking acetylcholine binding, these antibodies prevent the nerve signal...
Diseases of the Liver and Gallbladder01:26

Diseases of the Liver and Gallbladder

Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
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Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test

In clinical practice, the direct measurement of hepatic blood flow to evaluate liver function presents significant challenges due to the intricate and specialized nature of the necessary techniques. Consequently, healthcare professionals often rely on empirical estimates derived from thorough patient examinations and liver function tests to gauge liver health. Among the tools at their disposal, the Child–Pugh and MELD scoring systems stand out for their ability to categorize and assess the...

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Induction of Drug-Induced, Autoimmune Hepatitis in BALB/c Mice for the Study of Its Pathogenic Mechanisms
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Acute hepatitis induced by glatiramer acetate.

Pierre Deltenre1, Marie-Odile Peny, André Dufour

  • 1Hopital de Jolimont, Service d'Hépato-gastroentérologie, Rue Ferrer, 159, Haine-Saint-Paul, 7100, Belgium.

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Summary

Glatiramer acetate, used for multiple sclerosis, may cause drug-induced hepatitis. This case highlights the potential for acute liver injury, emphasizing the need for monitoring during treatment.

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Area of Science:

  • Immunology
  • Hepatology
  • Neurology

Background:

  • Glatiramer acetate is a disease-modifying therapy for relapsing-remitting multiple sclerosis.
  • It is a synthetic polypeptide mixture known for its immunomodulatory properties.
  • Autoimmune encephalomyelitis is a relevant experimental model for multiple sclerosis.

Purpose of the Study:

  • To report a case of glatiramer acetate-induced hepatitis.
  • To highlight the potential for acute liver injury associated with this multiple sclerosis treatment.

Main Methods:

  • Case report detailing a patient experiencing adverse liver effects.
  • Liver biopsy performed for diagnostic confirmation.
  • Monitoring of alanine aminotransferase levels before and after treatment cessation.

Main Results:

  • The patient developed drug-induced hepatitis.
  • Liver biopsy findings were consistent with drug-induced liver injury.
  • Alanine aminotransferase levels normalized after discontinuing glatiramer acetate.

Conclusions:

  • Glatiramer acetate can induce acute liver disease.
  • Physicians should be aware of this potential adverse effect.
  • Monitoring liver function is crucial in patients treated with glatiramer acetate.