Skip to main content
Top
Published in: Clinical Journal of Gastroenterology 3/2016

01-06-2016 | Case Report

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

Authors: Junichiro Kumagai, Tatsuo Kanda, Shin Yasui, Yuki Haga, Reina Sasaki, Masato Nakamura, Shuang Wu, Shingo Nakamoto, Makoto Arai, Yotaro Iino, Osamu Yokosuka

Published in: Clinical Journal of Gastroenterology | Issue 3/2016

Login to get access

Abstract

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.
Literature
2.
go back to reference Scully LJ, Clarke D, Barr RJ. Diclofenac induced hepatitis. 3 cases with features of autoimmune chronic active hepatitis. Dig Dis Sci. 1993;38:744–51.CrossRefPubMed Scully LJ, Clarke D, Barr RJ. Diclofenac induced hepatitis. 3 cases with features of autoimmune chronic active hepatitis. Dig Dis Sci. 1993;38:744–51.CrossRefPubMed
3.
go back to reference Kanda T, Yokosuka O, Tada M, et al. N-nitroso-fenfluramine hepatotoxicity resembling chronic hepatitis. J Gastroenterol Hepatol. 2003;18:999–1000.CrossRefPubMed Kanda T, Yokosuka O, Tada M, et al. N-nitroso-fenfluramine hepatotoxicity resembling chronic hepatitis. J Gastroenterol Hepatol. 2003;18:999–1000.CrossRefPubMed
4.
go back to reference Naito A, Terada J, Tanabe N, et al. Autoimmune hepatitis in a patient with pulmonary arterial hypertension treated with endothelin receptor antagonists. Intern Med. 2014;53:771–5.CrossRefPubMed Naito A, Terada J, Tanabe N, et al. Autoimmune hepatitis in a patient with pulmonary arterial hypertension treated with endothelin receptor antagonists. Intern Med. 2014;53:771–5.CrossRefPubMed
5.
go back to reference Hochman JA, Woodard SA, Cohen MB. Exacerbation of autoimmune hepatitis: another hepatotoxic effect of pemoline therapy. Pediatrics. 1998;101:106–8.CrossRefPubMed Hochman JA, Woodard SA, Cohen MB. Exacerbation of autoimmune hepatitis: another hepatotoxic effect of pemoline therapy. Pediatrics. 1998;101:106–8.CrossRefPubMed
6.
go back to reference Hisamochi A, Kage M, Ide T, et al. An analysis of drug-induced liver injury, which showed histological findings similar to autoimmune hepatitis. J Gastroenterol. 2015 [Epub ahead of print] Hisamochi A, Kage M, Ide T, et al. An analysis of drug-induced liver injury, which showed histological findings similar to autoimmune hepatitis. J Gastroenterol. 2015 [Epub ahead of print]
7.
go back to reference van der Klauw MM, Houtman PM, Stricker BH, Spoelstra P. Hepatic injury caused by benzbromarone. J Hepatol. 1994;20:376–9.CrossRefPubMed van der Klauw MM, Houtman PM, Stricker BH, Spoelstra P. Hepatic injury caused by benzbromarone. J Hepatol. 1994;20:376–9.CrossRefPubMed
8.
go back to reference Wagayama H, Shiraki K, Sugimoto K, et al. Fatal fulminant hepatic failure associated with benzbromarone. J Hepatol. 2000;32:874.CrossRefPubMed Wagayama H, Shiraki K, Sugimoto K, et al. Fatal fulminant hepatic failure associated with benzbromarone. J Hepatol. 2000;32:874.CrossRefPubMed
9.
go back to reference Arai M, Yokosuka O, Fujiwara K, et al. Fulminant hepatic failure associated with benzbromarone treatment: a case report. J Gastroenterol Hepatol. 2002;17:625–6.CrossRefPubMed Arai M, Yokosuka O, Fujiwara K, et al. Fulminant hepatic failure associated with benzbromarone treatment: a case report. J Gastroenterol Hepatol. 2002;17:625–6.CrossRefPubMed
10.
go back to reference Babany G, Larrey D, Pessayre D, et al. Chronic active hepatitis caused by benzarone. J Hepatol. 1987;5:332–5.CrossRefPubMed Babany G, Larrey D, Pessayre D, et al. Chronic active hepatitis caused by benzarone. J Hepatol. 1987;5:332–5.CrossRefPubMed
11.
go back to reference Kaufmann P, Török M, Hänni A, et al. Mechanisms of benzarone and benzbromarone-induced hepatic toxicity. Hepatology. 2005;41:925–35.CrossRefPubMed Kaufmann P, Török M, Hänni A, et al. Mechanisms of benzarone and benzbromarone-induced hepatic toxicity. Hepatology. 2005;41:925–35.CrossRefPubMed
13.
go back to reference Kanda T, Yokosuka O, Fujiwara K, et al. Fulminant hepatic failure associated with triazolam. Dig Dis Sci. 2002;47:1111–4.CrossRefPubMed Kanda T, Yokosuka O, Fujiwara K, et al. Fulminant hepatic failure associated with triazolam. Dig Dis Sci. 2002;47:1111–4.CrossRefPubMed
14.
go back to reference Ichida F, Tsuji T, Omata M, et al. New Inuyama classification; new criteria for histological assessment of chronic hepatitis. Int Hepatol Commun. 1996;6:112–9.CrossRef Ichida F, Tsuji T, Omata M, et al. New Inuyama classification; new criteria for histological assessment of chronic hepatitis. Int Hepatol Commun. 1996;6:112–9.CrossRef
15.
go back to reference Alvarez F, Berg PA, Bianchi FB, et al. International Autoimmune Hepatitis Group Report: review of criteria for diagnosis of autoimmune hepatitis. J Hepatol. 1999;31:929–38.CrossRefPubMed Alvarez F, Berg PA, Bianchi FB, et al. International Autoimmune Hepatitis Group Report: review of criteria for diagnosis of autoimmune hepatitis. J Hepatol. 1999;31:929–38.CrossRefPubMed
16.
go back to reference Hennes EM, Zeniya M, Czaja AJ, et al. Simplified criteria for the diagnosis of autoimmune hepatitis. Hepatology. 2008;48:169–76.CrossRefPubMed Hennes EM, Zeniya M, Czaja AJ, et al. Simplified criteria for the diagnosis of autoimmune hepatitis. Hepatology. 2008;48:169–76.CrossRefPubMed
17.
go back to reference Takikawa H, Onji M, Takamori Y, et al. Proposal of diagnostic criteria of drug induced hepatic injury in DDW-J2004 workshop. Kanzo (in Japanese). 2005;46:85–90. Takikawa H, Onji M, Takamori Y, et al. Proposal of diagnostic criteria of drug induced hepatic injury in DDW-J2004 workshop. Kanzo (in Japanese). 2005;46:85–90.
18.
go back to reference Kuo CF, Yu KH, Luo SF, et al. Gout and risk of non-alcoholic fatty liver disease. Scand J Rheumatol. 2010;39:466–71.CrossRefPubMed Kuo CF, Yu KH, Luo SF, et al. Gout and risk of non-alcoholic fatty liver disease. Scand J Rheumatol. 2010;39:466–71.CrossRefPubMed
20.
go back to reference Tandra S, Yeh MM, Brunt EM, et al. Presence and significance of microvesicular steatosis in nonalcoholic fatty liver disease. J Hepatol. 2011;55:654–9.CrossRefPubMed Tandra S, Yeh MM, Brunt EM, et al. Presence and significance of microvesicular steatosis in nonalcoholic fatty liver disease. J Hepatol. 2011;55:654–9.CrossRefPubMed
22.
go back to reference Björnsson E, Talwalkar J, Treeprasertsuk S, et al. Drug-induced autoimmune hepatitis: clinical characteristics and prognosis. Hepatology. 2010;51:2040–8.CrossRefPubMed Björnsson E, Talwalkar J, Treeprasertsuk S, et al. Drug-induced autoimmune hepatitis: clinical characteristics and prognosis. Hepatology. 2010;51:2040–8.CrossRefPubMed
23.
go back to reference Abe M, Mashiba T, Zeniya M, et al. Present status of autoimmune hepatitis in Japan: a nationwide survey. J Gastroenterol. 2011;46:1136–41.CrossRefPubMed Abe M, Mashiba T, Zeniya M, et al. Present status of autoimmune hepatitis in Japan: a nationwide survey. J Gastroenterol. 2011;46:1136–41.CrossRefPubMed
Metadata
Title
Autoimmune hepatitis following drug-induced liver injury in an elderly patient
Authors
Junichiro Kumagai
Tatsuo Kanda
Shin Yasui
Yuki Haga
Reina Sasaki
Masato Nakamura
Shuang Wu
Shingo Nakamoto
Makoto Arai
Yotaro Iino
Osamu Yokosuka
Publication date
01-06-2016
Publisher
Springer Japan
Published in
Clinical Journal of Gastroenterology / Issue 3/2016
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-016-0648-5

Other articles of this Issue 3/2016

Clinical Journal of Gastroenterology 3/2016 Go to the issue