Unintentional rechallenge resulting in a causative relationship between ketoconazole and acute liver injury

Rong Nan Chien*, I. S. Sheen, Y. F. Liaw

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

13 Scopus citations

Abstract

We present the case of a female patient in whom acute overt hepatitis developed after 60 days of ketoconazole administration (200 mg/day). A prompt renewed hepatic injury 48 hours after an unintentional rechallenge 30 months later provided definitive evidence for a causative relationship between ketoconazole and acute liver injury. Histological examination revealed acute hepatitis with bridging hepatic necrosis. Clinicians should be aware of this cause and effect relationship between ketoconazole and acute liver injury, which can result in prompt severe acute liver injury after rechallenge.

Original languageEnglish
Pages (from-to)829-830
Number of pages2
JournalInternational Journal of Clinical Practice
Volume57
Issue number9
StatePublished - 11 2003
Externally publishedYes

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