Captopril-associated cholestatic jaundice.

Autor: Rahmat, Javed, Gelfand, Richard L., Selfand, Michael C., Winchester, James F., Schreiner, George E., Zimmerman, Hyman J., Rahmat, J, Gelfand, R L, Gelfand, M C, Winchester, J F, Schreiner, G E, Zimmerman, H J
Předmět:
Zdroj: Annals of Internal Medicine; Jan85, Vol. 102 Issue 1, p56-58, 3p
Abstrakt: Captopril, the competitive inhibitor of angiotensin-converting enzyme, is of considerable benefit in difficult-to-manage forms of hypertension. Its use has been associated with various untoward effects, but hepatic injury has not been widely reported. We treated a patient with captopril-associated cholestatic jaundice; a review of cases reported to the drug manufacturer and a review of the literature showed 13 additional cases of hepatic injury associated with captopril. In 9 of these the jaundice was categorized as cholestatic, and in 4 of the remaining 5 as mixed cholestatic-hepatocellular. These findings show that jaundice may be an idiosyncratic side effect of captopril, and that captopril-associated jaundice characteristically has strongly cholestatic features. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index