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Related Experiment Videos

Reversible hepatic dysfunction in association with cyclophosphamide therapy

D V Milford1, N Butler, R Clarke

  • 1Department of Nephrology, Children's Hospital, Birmingham, UK.

European Journal of Pediatrics
|May 1, 1995
PubMed
Summary
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Cyclophosphamide treatment for nephrotic syndrome in a child led to reversible jaundice and abnormal liver function. Pediatricians should monitor for potential drug-induced liver injury in children receiving this therapy.

Area of Science:

  • Pediatric Nephrology
  • Clinical Pharmacology
  • Hepatology

Background:

  • Nephrotic syndrome is a kidney disorder often treated with immunosuppressive agents.
  • Cyclophosphamide is an alkylating agent used in treating various conditions, including nephrotic syndrome.
  • Drug-induced liver injury (DILI) is a significant concern in pediatric pharmacotherapy.

Observation:

  • A 5.5-year-old child with nephrotic syndrome received cyclophosphamide therapy.
  • After nine weeks, the child presented with jaundice and elevated liver function tests.
  • No infectious cause for the liver abnormalities was identified.

Findings:

  • Cyclophosphamide therapy was associated with transient, reversible hepatic dysfunction in this pediatric patient.
  • Liver function tests normalized within five weeks of discontinuing cyclophosphamide.

Related Experiment Videos

  • This case highlights a rare adverse effect of cyclophosphamide in children with nephrotic syndrome.
  • Implications:

    • Pediatricians should consider cyclophosphamide as a potential cause of liver dysfunction in children with nephrotic syndrome.
    • Awareness of this potential side effect is crucial for prompt diagnosis and management.
    • Further surveillance for hepatic adverse events may be warranted in pediatric patients on cyclophosphamide.