与黄相关的肝损伤 (DILI) 具有敏感的HLA
Íñigo Jon Garaizabal Azkue1, Agustín Castiella2, Leire Aburruza Ucar2
1Gastroenterology and Hepatology, Hospital Universitario Donostia, Spain.
Revista espanola de enfermedades digestivas
|September 19, 2024
概括
黄和黄素补充剂可能会导致药物诱导性肝损伤 (DILI),导致黄和肝酶升高. 停止服用补充剂导致患者肝损伤的解决.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 毒理学 毒理学 毒理学
- 综合医学是一个整体的医学.
背景情况:
- 药物诱导性肝损伤 (DILI) 是一个诊断挑战,特别是在草药补充剂中.
- 黄,含有黄素,是其抗炎性质的受欢迎补充剂.
- 本文介绍了一例 DILI 病例,该病例是在食用黄补充剂后出现的.
研究的目的:
- 报告一种DILI病例,该病例归因于一种黄和黑胡补充剂.
- 为了突出广泛使用的草药的潜在肝毒性.
- 强调在无法解释的肝酶升高的情况下考虑使用补充剂的重要性.
主要方法:
- 一名35岁的女性出现了黄和肝酶升高.
- 进行了广泛的实验室检查,包括病毒性肝炎血清学和自身免疫特征.
- 使用CIOM/RUCAM规模进行的临床评估和评分支持了DILI的诊断.
- 图像学研究 (CT扫描) 排除了肝脏病理的其他原因.
主要成果:
- 该患者的ALT和AST水平显著升高,同时患有高白血症.
- 肝炎血清和自身免疫标记是负的.
- 该患者是经常食用无处方药的黄和黑胡补充剂的常规消费者.
- 肝酶在停止服用补充剂后的三个月内正常化.
结论:
- 黄和黄补充剂,即使是标准剂量,也可以导致DILI.
- 在急性肝损伤的差异诊断中应考虑草药补充剂.
- 对肝脏的恢复至关重要,即时停止侵权剂的使用.
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