由于药物诱导的肝损伤引起的二次性硬化性脑膜炎:一个回顾性队列研究
Qiannan Chen1, Derun Kong, Xiaochang Liu
1Department of Gastroenterology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province, China.
European journal of gastroenterology & hepatology
|December 2, 2024
概括
二次性硬化性胆道炎 (SSC) 影响17.3%的药物诱导性肝损伤 (DILI) 患者. 较高的酸酸酶 (ALP) 峰值水平与患上与药物相关的SSC的风险增加有关.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 药物诱导性肝损伤 (DILI) 是一个重要的临床问题.
- 二次性硬化胆炎 (SSC) 是DILI的一个不太了解的并发症.
- 磁共振胆血管细胞造影 (MRCP) 有助于诊断胆道变化.
研究的目的:
- 为了确定DILI患者SSC的频率.
- 分析DILI患者同时存在SSC的临床特征.
- 为了确定与药物相关的SSC的风险因素.
主要方法:
- 185名DILI患者的回顾性队列研究 (2020年1月 - 2024年8月).
- 对81名可用患者的MRCP图像的审查.
- 临床数据和实验室值的分析,包括性酸酶 (ALP).
主要成果:
- 17.3% (14/81) 的DILI患者被诊断出SSC.
- 在SSC患者中,峰值ALP水平较高 (660比290U/L),分辨时间较长 (114比61天).
- 被确定为SSC的风险因素的峰值ALP值 (OR=1.002,P=0.030).
结论:
- 与药物相关的SSC的患病率似乎在增加.
- 高峰ALP水平可能表明患有与药物相关的SSC的风险增加.
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