利拉格卢提德诱导的肝损伤:一个病例报告和审查
Mark Lai1,2, Patrick Hosking3, Rohit Sawhney1,2
1Department of Gastroenterology, Eastern Health, Melbourne, VIC, Australia.
Case reports in gastroenterology
|October 9, 2025
概括
类似葡萄糖类-1受体激动剂,如利拉格卢提德,可以导致罕见的药物诱导性肝损伤 (DILI). 这一案例突出了利拉格卢提德的DILI,在停止服用药物后,这种问题得到解决.
科学领域:
- 药理学 药理学是指药理学的学科.
- 肝病学 肝病学是一种肝病学.
- 内分泌学 在内分泌学.
背景情况:
- 类似葡萄糖-1受体激动剂 (GLP-1RA) 广泛用于2型糖尿病和肥胖症.
- 利拉格卢提德是一种常见的GLP-1RA,具有普遍有利的安全性.
研究的目的:
- 报告与利拉格卢提德使用相关的药物诱导性肝损伤 (DILI) 病例.
- 强调在服用利拉格卢提德,出现肝脏异常的患者中考虑DILI的重要性.
主要方法:
- 一个30岁妇女的病例介绍,怀疑是利拉格卢提德诱导的肝损伤.
- 组织学证实了DILI.
- 药物戒断后对肝功能测试的监测.
主要成果:
- 患者患有DILI,经组织学证实,归因于利拉格卢提德.
- 停药后6个月内肝损伤完全消失.
- 这表明liraglutide的潜在,尽管罕见,肝毒性作用.
结论:
- 药物诱导的肝损伤是一种罕见但显著的利拉格卢提德不良反应.
- 临床医生应对用利拉格卢提德治疗的患者对DILI保持警,特别是那些有不明原因肝酶升高的患者.
- 组织学检查和药物戒断对于诊断和管理至关重要.
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