药物诱导的肝损伤-儿童中的药理学谱
Bianca Raluca Maris1,2, Alina Grama1,2, Tudor Lucian Pop1,2
12nd Pediatric Discipline, Department of Mother and Child, Faculty of Medicine, "Iuliu Hațieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
International journal of molecular sciences
|March 13, 2025
概括
儿童的药物诱导性肝损伤 (DILI) 经常被低估. 本综述强调了导致DILI的关键药物,特别是像阿莫西-克拉夫兰酸这样的抗生素和抗药,有助于诊断.
科学领域:
- 儿科肝病学 儿科肝病学
- 临床药理学 临床药理学
- 毒理学 毒理学 毒理学
背景情况:
- 药物诱导性肝损伤 (DILI) 是儿童急性肝衰竭的重要原因,由于缺乏特定的诊断工具,经常被诊断不足.
- 已知有1000多种药物导致DILI,名单不断扩大,需要更新临床意识.
研究的目的:
- 为了阐明儿童群体中DILI的发病原因.
- 识别和强调通常与儿童DILI相关的药物,以改善识别和诊断.
主要方法:
- 审查关于DILI病变的现有文献.
- 分析涉及儿科DILI的药物类别,区分内在和特异性形式.
主要成果:
- 抗生素,主要是阿莫西西林-克拉夫兰酸,占儿科特异性DILI (iDILI) 病例 (免疫-过敏) 的一半.
- 抗药和抗结核药物对儿童iDILI的很大一部分负责,儿童表现出更大的易感性.
- 越来越多的IDILI病例与抗瘤剂,阿托莫克赛丁和阿尔本达有关.
结论:
- 临床医生应保持对儿童iDILI的高度怀疑指数,特别是当他们接触到常见药物时.
- 了解儿科DILI所涉及的机制和特定药物对于及时诊断和管理至关重要.
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