2010
DOI: 10.1186/1471-230x-10-93
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Acute-on-chronic liver failure due to thiamazole in a patient with hyperthyroidism and trilogy of Fallot: case report

Abstract: BackgroundThiamazole is a widely used antithyroid agent that has been approved for the treatment of hyperthyroidism. Although thiamazole-induced hepatotoxicity is a main side effect, it may progress to liver failure in a very few cases.Case PresentationWe described a 24-year-old patient with hyperthyroidism and trilogy of Fallot, who developed liver failure due to thiamazole. Liver biopsy showed intrahepatic cholestasis, mild inflammatory infiltrates, as well as significant fibrosis, indicating both acute and … Show more

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Cited by 14 publications
(10 citation statements)
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“…This is consistent with the above‐mentioned study . Many studies showed that the occurrence of MMI‐DILI was in a dose‐dependent relationship, indicating that MMI‐DILI may be associated with the pharmacokinetics of MMI . We proposed that the higher OATP1B1 activity resulted in the more clearance of MMI, which might decrease the risk of MMI‐DILI.…”
Section: Discussionsupporting
confidence: 90%
See 1 more Smart Citation
“…This is consistent with the above‐mentioned study . Many studies showed that the occurrence of MMI‐DILI was in a dose‐dependent relationship, indicating that MMI‐DILI may be associated with the pharmacokinetics of MMI . We proposed that the higher OATP1B1 activity resulted in the more clearance of MMI, which might decrease the risk of MMI‐DILI.…”
Section: Discussionsupporting
confidence: 90%
“…47 Many studies showed that the occurrence of MMI-DILI was in a dose-dependent relationship, indicating that MMI-DILI may be associated with the pharmacokinetics of MMI. [52][53][54] We proposed that the higher OATP1B1 activity resulted in the more clearance of MMI, which might decrease the risk of MMI-DILI. However, further studies are warranted to determine whether OATP1B1 participates in the transport of MMI and the effects of SLCO1B1 polymorphisms on OATP1B1 activity both in vitro and in vivo.…”
Section: Discussionmentioning
confidence: 99%
“…In a study comparing the appearance of hepatotoxicity defined as an elevation of transaminases more than threefold, it was found that MMI 30 mg per day dosing caused the earliest appearance of hepatotoxicity compared with 15 mg per day of MMI and 300 mg per day of PTU [23]. The average onset of hepatotoxicity with the higher dose of MMI was found to be about 17 days.…”
Section: And Hepatotoxicitymentioning
confidence: 95%
“…Some studies have suggested monitoring of the liver function tests should be done in the time frame of expected side effects of hepatotoxicity [23].…”
Section: Monitoringmentioning
confidence: 99%
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