Propylthiouracil-Induced Hepatotoxicity and Death. Hopefully, Never More

摘要

A commonly used antithyroid medications, propyl- thiouracil (PTU) and methimazole (MMI), and focusing particularly on hepatotoxicity and death in children, Rivkees and Szarfman bring to the forefront an issue that time and time again has fallen off our radar screen: the use of PTU can result in tragic consequences and should never be used in children (1). The same statement could be made for adults, with the exception of use during early preg- nancy when PTU use may avoid the potential for fetal malformations that may occur with MMI (2). However, the MMI teratogenic link seems tenuous.