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Drug-induced liver injury: a clinical update

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Authors
Ghabril, Marwan
Chalasani, Naga
Bjornsson, Einar
Issue Date
2010-05-01

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Citation
Curr. Opin. Gastroenterol. 2010, 26(3):222-6
Abstract
PURPOSE OF REVIEW: To gather new and important data published on idiosyncratic drug-induced liver injury (DILI) over the past 2 years in the peer-reviewed literature. Clinical studies focusing on mechanisms of injury, clinical evaluation and prognosis will be reviewed. RECENT FINDINGS: The most common drugs leading to DILI in the United States are antibiotics, central nervous system agents, herbal/dietary supplements and immunomodulatory agents. Hepatocellular type of DILI is more common in younger patients, whereas cholestatic pattern increases with older age. Certain human leukocyte antigen genotype increases the likelihood of flucloxacillin-induced liver injury. Idiosyncratic DILI was shown to have an important dose-dependency and drugs with extensive hepatic metabolism are associated with higher frequency of DILI. Chronic DILI may occur, but development of clinically important liver injury after severe DILI is rare. N-acetylcysteine seems to be beneficial for patients with acute liver failure caused by medications or herbal agents.
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http://dx.doi.org/10.1097/MOG.0b013e3283383c7c
ae974a485f413a2113503eed53cd6c53
10.1097/MOG.0b013e3283383c7c
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English Journal Articles (Peer Reviewed)

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