Liver Veno-Occlusive Disease (VOD) in a patient given 6-Thioguanine for Crohn's Disease.

Autor: Salerno, Agata, Vacante, Marco, Pollina, Donatella, Stancanelli, Benedetta, Martini, Silvia, David, Ezio, Malatino, Lorenzo
Předmět:
Zdroj: British Journal of Medical Practitioners; Jun2014, Vol. 7 Issue 2, p16-18, 3p, 1 Color Photograph, 3 Black and White Photographs
Abstrakt: 6-Thioguanine (6-TG) is being given to patients with Crohn's disease failing conventional immunosuppression, but cases of hepatotoxicity have been reported. We report the case of a patient who developed acute sinusoidal obstruction syndrome after 3 months of successful 6-TG treatment. A complete regression of liver injury was observed after withdrawal of 6-TG. Our case-report underscores the risk of hepatic injury due to the administration of 6-TG for Crohn's disease. We strongly recommend alternative therapeutic options in patients intolerant or resistant to conventional thiopurines. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index