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Órgano Oficial de la Asociación Mexicana de Hepatología
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2006, Number 1

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Ann Hepatol 2006; 5 (1)

Drug induced liver injury secondary to interferon-beta (IFN-β) in multiple sclerosis

Byrnes V, Afdhal N, Challies T, Greenstein PE
Full text How to cite this article

Language: English
References: 7
Page: 56-59
PDF size: 160.34 Kb.


Key words:

Liver, interferon-beta (IFN-β), multiple sclerosis, liver injury.

Text Extraction

Post marketing studies of Interferon-β (IFNβ) therapy in multiple sclerosis (MS) have demonstrated surprisingly high rates of hepatotoxicity. Grade 3 hepatotoxicity (AST and ALT › 5 to 20 upper limit normal) or higher has been observed in as many as 1.4% of MS patients on IFNβ. We report three cases of IFNβ induced hepatitis in MS and discuss the pathology findings and possible mechanisms of drug-induced liver injury.


REFERENCES

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  2. Tremlett HL, Oger J. Elevated aminotransferases during treatment with interferon-beta for multiple sclerosis: actions and outcomes. Mult Scler 2004; 10: 298-301.

  3. Francis GS, Grumser Y, Alteri E, Micaleff A, O’Brien F, Alsop J, Stam Moraga M, et al. Hepatic reactions during treatment of multiple sclerosis with interferon-beta-1a: incidence and clinical significance. Drug Saf 2003; 26: 815-827.

  4. Jaeschke H, Gores GJ, Cederbaum AI, Hinson JA, Pessayre D, Lemasters JJ. Mechanisms of hepatotoxicity. Toxicol Sci 2002; 65: 166-176.

  5. Lee WM. Drug-induced hepatotoxicity. N Engl J Med 2003; 349: 474-485.

  6. Durelli L, Bongioanni MR, Ferrero B, Oggero A, Marzano A, Rizzetto M. Interferon treatment for multiple sclerosis: autoimmune complications may be lethal. Neurology 1998; 50: 570-571.

  7. Speciale L, Saresella M, Caputo D, Ruzzante S, Mancuso R, Calvo MG, Guerini FR, et al. Serum auto antibodies presence in multiple sclerosis patients treated with beta-interferon 1a and 1b. J Neurovirol 2000; 6 Suppl 2: S57-61.




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C?MO CITAR (Vancouver)

Ann Hepatol. 2006;5