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Related Experiment Videos

Busulfan-induced hepatitis.

L E Morris1, T H Guthrie

  • 1Medical College of Georgia, Augusta.

The American Journal of Gastroenterology
|June 1, 1988
PubMed
Summary
This summary is machine-generated.

Busulfan, a chemotherapy drug, can cause liver damage (hepatitis) in patients with chronic myelocytic leukemia. Discontinuing busulfan treatment led to the resolution of liver enzyme abnormalities and fever in one patient.

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Area of Science:

  • Hepatology
  • Oncology
  • Pharmacology

Background:

  • Chronic myelocytic leukemia (CML) is a myeloproliferative neoplasm.
  • Busulfan is an alkylating agent used in the treatment of CML.
  • Long-term busulfan therapy can be associated with various toxicities.

Observation:

  • A 61-year-old male CML patient on long-term busulfan therapy presented with cholestatic liver enzyme elevation, fever, and abdominal pain.
  • Imaging studies (ultrasound, CT scan) revealed no structural abnormalities in the liver or biliary tract.
  • Percutaneous liver biopsy showed cellular cholestasis and focal hepatocellular necrosis with inflammation.

Findings:

  • The clinical presentation and liver biopsy findings were consistent with drug-induced liver injury.

Related Experiment Videos

  • Discontinuation of busulfan resulted in normalization of liver enzymes and resolution of symptoms.
  • The case suggests busulfan as the causative agent for hepatitis.
  • Implications:

    • Busulfan-induced hepatitis is a potential, albeit rare, complication of long-term CML treatment.
    • Clinicians should consider drug-induced liver injury in patients on busulfan presenting with cholestatic jaundice.
    • Monitoring liver function is crucial in patients undergoing long-term busulfan therapy.