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Severe hepatitis induced by cyproterone acetate: role of corticosteroids. A case report
Ludovico Abenavoli1, Natasa Milic, Michel Beaugrand
1Department of Health Sciences, University Magna Græcia of Catanzaro, Italy. labenavoli@unicz.it
Abstract:
Cyproterone acetate (CPA) is an oral anti-androgen commonly used to treat advanced prostate cancer. A variety of hepatotoxic reactions has been reported with CPA. Here we describe a case of a male patient who developed severe drug-induced hepatotoxicity during the treatment with CPA. The case, presenting sub-acute hepatitis, was characterized by a rapid evolution of cirrhosis and a protracted activity during the period of a few months despite the treatment withdrawal and an apparent benefits of corticosteroids, suggesting their indication in life threatening cases.
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