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Current Drug Safety

Editor-in-Chief

ISSN (Print): 1574-8863
ISSN (Online): 2212-3911

Review Article

Idiosyncratic Drug-Induced Acute Liver Failure: A Challenging and Distressing Scenario

Author(s): Carla Stefania Colaci, Manuel Mendizabal and Fernando Bessone*

Volume 14, Issue 2, 2019

Page: [94 - 101] Pages: 8

DOI: 10.2174/1574886314666190215115434

Price: $65

Abstract

Background: Idiosyncratic Drug Induced Liver Injury (DILI) is a rare adverse event to drugs that occasionally leads to severe liver damage, being one of the leading causes of Acute Liver Failure (ALF) in developed countries. DILI is largely a diagnosis of exclusion.

Discussion and Conclusion: Careful history of drug taking and ruling out other competing etiologies is mandatory given that DILI can present with an extremely variable phenotype. Several prognostic scores have been developed to promptly identify patients with potential risk of developing ALF. New biomarkers to diagnose and predict DILI evolution are under study and hopefully we will benefit from these novel tools in the near future.

Keywords: Hepatotoxicity, acute liver failure, liver transplant, drug hepatotoxicity, Drug-induced liver injury, hepatitis.

Graphical Abstract

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