Display options
Share it on

Int J Endocrinol. 2010;2010:910636. doi: 10.1155/2010/910636. Epub 2010 Dec 23.

Propylthiouracil-induced acute liver failure: role of liver transplantation.

International journal of endocrinology

Andres F Carrion, Frank Czul, Leopoldo R Arosemena, Gennaro Selvaggi, Monica T Garcia, Akin Tekin, Andreas G Tzakis, Paul Martin, Ravi K Ghanta

Affiliations

  1. Department of Medicine, University of Miami Leonard M. Miller School of Medicine, 185 SW 7th Street, Unit 1510, Miami, FL 33130, USA.

PMID: 21234410 PMCID: PMC3014703 DOI: 10.1155/2010/910636

Abstract

Propylthiouracil- (PTU-) induced hepatotoxicity is rare but potentially lethal with a spectrum of liver injury ranging from asymptomatic elevation of transaminases to fulminant hepatic failure and death. We describe two cases of acute hepatic failure due to PTU that required liver transplantation. Differences in the clinical presentation, histological characteristics, and posttransplant management are described as well as alternative therapeutic options. Frequent monitoring for PTU-induced hepatic dysfunction is strongly advised because timely discontinuation of this drug and implementation of noninvasive therapeutic interventions may prevent progression to liver failure or even death.

References

  1. N Engl J Med. 1953 Nov 12;249(20):814-6 - PubMed
  2. Int J Pediatr Endocrinol. 2009;2009:132041 - PubMed
  3. J Clin Apher. 2005 Dec;20(4):235-8 - PubMed
  4. Arch Intern Med. 1980 Sep;140(9):1184-5 - PubMed
  5. J Clin Endocrinol Metab. 1999 Jan;84(1):13-6 - PubMed
  6. J Natl Med Assoc. 2010 Jun;102(6):531-4 - PubMed
  7. J Clin Endocrinol Metab. 1997 Jun;82(6):1727-33 - PubMed
  8. Am J Gastroenterol. 2001 Jan;96(1):165-9 - PubMed
  9. J Clin Gastroenterol. 1997 Apr;24(3):180-3 - PubMed
  10. World J Gastroenterol. 2006 Oct 14;12(38):6232-4 - PubMed
  11. Liver Transpl. 2009 Jul;15(7):719-29 - PubMed
  12. N Engl J Med. 1995 Oct 26;333(17):1118-27 - PubMed
  13. Thyroid. 2000 Jul;10(7):595-9 - PubMed
  14. J Am Med Assoc. 1947 Oct 18;135(7):422-5 - PubMed
  15. J Clin Endocrinol Metab. 2009 Jun;94(6):1881-2 - PubMed
  16. Dig Dis Sci. 2003 Jan;48(1):190-1 - PubMed
  17. West J Med. 1996 Sep;165(3):144-7 - PubMed
  18. Liver Transpl. 2004 Aug;10(8):1018-23 - PubMed
  19. Ann Intern Med. 1993 Mar 15;118(6):424-8 - PubMed

Publication Types