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Autoimmune hepatitis following drug-induced liver injury in an elderly patient

机译:老年患者药物性肝损伤后的自身免疫性肝炎

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摘要

We describe a case of autoimmune hepatitis (AIH) that may have occurred following drug-induced liver injury with camostat mesilate and/or benzbromarone in an elderly patient. The patient's liver biopsy showed chronic active hepatitis and autoimmune hepatitis. Stopping the use of these drugs did not lead to complete remission, but the use of a low dose of corticosteroids completely cured his liver dysfunction. In the present case, liver dysfunction was caused by an autoimmune mechanism. Special attention should be paid to idiopathic AIH and drug-induced AIH in elderly patients.
机译:我们描述了一名老年患者自身免疫性肝炎(AIH)的病例,该病例可能是由药物引起的丙莫司汀甲磺酸盐和/或苯溴马隆引起的肝损伤。患者的肝活检显示为慢性活动性肝炎和自身免疫性肝炎。停止使用这些药物并不能完全缓解,但是使用低剂量的皮质类固醇可以完全治愈他的肝功能障碍。在本例中,肝功能障碍是由自身免疫机制引起的。应特别注意老年患者的特发性AIH和药物引起的AIH。

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