2.Severe liver injury induced by repeated use of hair dye.
Feng-Qin HOU ; Xiao-Hong LIN ; Yan-Yan YU ; Tai-Ling WANG ; Gui-Qiang WANG
Chinese Medical Journal 2009;122(7):875-877
4.Analysis of adverse effects of cinnabar.
Ai-hua LIANG ; Yan-ju XU ; Min-feng SHANG
China Journal of Chinese Materia Medica 2005;30(23):1809-1811
This article made a brief analysis of clinical adverse effects of cinnabar. Except for allergic reaction, almost all the adverse events of cinnabar were caused by unreasonable application. The majority of the poisoning cases were associated with excessive and/or long-term dosage, and improper preparation methods, such as decocting, heating or fumigating. Children showed to be prone to poisoning. The poisoning caused by unreasonable use of cinnabar should be considered to be drug alert, but not advert effect. And the toxicity of cinnabar could be avoided by normalizing the preparation method, controlling the dosage and duration.
Chemical and Drug Induced Liver Injury
;
etiology
;
Coma
;
chemically induced
;
Drug Compounding
;
adverse effects
;
Drug Incompatibility
;
Drug Overdose
;
Gastrointestinal Diseases
;
chemically induced
;
Humans
;
Hypersensitivity
;
etiology
;
Mercury Compounds
;
adverse effects
;
poisoning
;
Mercury Poisoning
;
prevention & control
;
therapy
6.Factors affecting drug-induced liver injury: antithyroid drugs as instances.
Reza HEIDARI ; Hossein NIKNAHAD ; Akram JAMSHIDZADEH ; Narges ABDOLI
Clinical and Molecular Hepatology 2014;20(3):237-248
Methimazole and propylthiouracil have been used in the management of hyperthyroidism for more than half a century. However, hepatotoxicity is one of the most deleterious side effects associated with these medications. The mechanism(s) of hepatic injury induced by antithyroid agents is not fully recognized yet. Furthermore, there are no specific tools for predicting the occurrence of hepatotoxicity induced by these drugs. The purpose of this article is to give an overview on possible susceptibility factors in liver injury induced by antithyroid agents. Age, gender, metabolism characteristics, alcohol consumption, underlying diseases, immunologic mechanisms, and drug interactions are involved in enhancing antithyroid drugs-induced hepatic damage. An outline on the clinically used treatments for antithyroid drugs-induced hepatotoxicity and the potential therapeutic strategies found to be effective against this complication are also discussed.
Animals
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Antithyroid Agents/*adverse effects/chemistry/therapeutic use
;
Disease Models, Animal
;
Drug-Induced Liver Injury/drug therapy/*etiology
;
Graves Disease/drug therapy
;
Humans
;
Hyperthyroidism/drug therapy
;
Protective Agents/therapeutic use
;
Reactive Oxygen Species/metabolism
;
Risk Factors
8.Clinical analysis of invasive laryngeal mycosis.
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2013;27(21):1174-1176
OBJECTIVE:
To summarize the clinical datas of thepatients with invasive laryngeal fungal infections in, discuss pathogenesis and treatment methods.
METHOD:
Eleven cases of invasive laryngeal fmycosis who were collected from September 2006 to February 2010 with electronic laryngoscopy, aspirate smear and culture and tissue biopsy for pathological diagnosis, were restrospectively analyzed. Those patients were received iv fluconazole, treatment of Oxygen Atomization of amphotericin B solution and taking itraconazole orally. The hepatic and renal functions of the patients were monitored in the course of treatment.
RESULT:
All the cases were diagnosed of invasive laryngeal mycosis. 1 patient showed liver dysfunction in the second week during treatment. And continuing the treatment after using liver protection drugs. All symptoms of the patients were improved and no recurrence happened during the 1-6 years of follow-up.
CONCLUSION
Invasive laryngeal fmycosis was correlated with occupation exposure, abusing of antibiotics and low immunity. Laryngeal mycosis was Diagnosised mainly depended on the pathological examination. The positive rates of the secretion smear was low. The effects of iv fluconazole, Oxygen Atomization of amphotericin B 2-4 weeks, and 4 weeks of taking itraconazole orally were safety and reliable.
Administration, Oral
;
Amphotericin B
;
therapeutic use
;
Antifungal Agents
;
therapeutic use
;
Chemical and Drug Induced Liver Injury
;
prevention & control
;
Fluconazole
;
therapeutic use
;
Humans
;
Itraconazole
;
therapeutic use
;
Laryngeal Diseases
;
drug therapy
;
etiology
;
pathology
;
Mycoses
;
drug therapy
;
etiology
;
pathology
9.A case of amoxicillin-induced hepatocellular liver injury with bile-duct damage.
Ju Seung KIM ; Young Rock JANG ; Ji Won LEE ; Jin Yong KIM ; Young Kul JUNG ; Dong Hae CHUNG ; Oh Sang KWON ; Yun Soo KIM ; Duck Joo CHOI ; Ju Hyun KIM
The Korean Journal of Hepatology 2011;17(3):229-232
Amoxicillin, an antibiotic that is widely prescribed for various infections, is associated with a very low rate of drug-induced liver injury; hepatitis and cholestasis are rare complications. Here we present a case of a 39-year-old woman who was diagnosed with abdominal actinomycosis and received amoxicillin treatment. The patient displayed hepatocellular and bile-duct injury, in addition to elevated levels of liver enzymes. The patient was diagnosed with amoxicillin-induced cholestatic hepatitis. When amoxicillin was discontinued, the patient's symptoms improved and her liver enzyme levels reduced to near to the normal range.
Actinomycosis/drug therapy
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Adult
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Alanine Transaminase/blood
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Alkaline Phosphatase/blood
;
Amoxicillin/*adverse effects
;
Anti-Bacterial Agents/*adverse effects
;
Aspartate Aminotransferases/blood
;
Cholestasis/*chemically induced
;
Drug-Induced Liver Injury/*diagnosis/etiology
;
Female
;
Humans
;
Liver/enzymology
10.Acute liver failure in Korea: etiology, prognosis and treatment.
The Korean Journal of Hepatology 2010;16(1):5-18
Acute liver failure (ALF) is a rare condition in which rapid deterioration of liver function results in altered mentation and coagulopathy in individuals without previously recognized liver disease. The outcomes of patients with ALF vary greatly according to etiology, and the etiology of ALF varies markedly by geographical region. In Korea, about 90% of ALF are associated with etiologies that usually result in poor outcomes, including hepatitis B virus (HBV) infection and herbal remedies. The main causes of death in patients with ALF are increased intracranial pressure, systemic infection, and multi-organ failure. Recent advances in the intensive care of patients with ALF have contributed to a marked improvement in their overall survival. Emergency adult to adult living-donor liver transplantation (LDLT) can be performed expeditiously and safely for patients with ALF, and greatly improves survival rate as well as deceased-donor transplantation. As the window during which transplantation is possible is limited, emergency adult LDLT should be considered to be one of the first-line treatment options in patients with ALF, especially in regions in which ALFs are caused by etiologies associated with poor outcome and the supply of organs is very limited.
Drug-Induced Liver Injury/complications
;
Hepatitis B/complications
;
Humans
;
Kidney Failure, Acute/etiology
;
Liver Failure, Acute/*etiology/mortality/therapy
;
Liver Transplantation
;
Prognosis
;
Republic of Korea
;
Respiration Disorders/etiology
;
Survival Rate