Hepatotoxicity; Drug-Induced Liver Injury

Tillmann, Hans L.

doi:10.1016/b978-0-12-801238-3.65703-3

Encyclopedia of Gastroenterology 2020

DOI: 10.1016/b978-0-12-801238-3.65703-3

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Hepatotoxicity; Drug-Induced Liver Injury

Hans L. Tillmann¹

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2020

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Signatures in drug-induced liver injury

Tillmann

Rockey

2020

Current Opinion in Gastroenterology

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Purpose of review Drug-induced liver injury (DILI) can be induced by a myriad of drugs. Assessing whether the patient has DILI and assessing which drug is the most likely culprit are challenging. There has been too little attention paid to the concept that certain drugs appear to have unique clinical features or ‘phenotypes’. Recent findings Several case series of DILI because of various drugs have been published, and analysis of these case series points to the fact that individual drugs have characteristic DILI signatures. These clinical phenotypes can be characterized by latency, biochemical features (R-value), as well as clinical symptoms and signs. Several drugs, including isoniazid, amoxicillin-clavulanic acid, anabolic steroids, β-interferon and others, have highly unique clinical features. Such unique properties may be able to be used to improve adjudication processes. Summary Individual drugs have unique clinical DILI phenotypes or signatures. Furthermore, these may be able to be used to improve adjudication.

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Signatures in drug-induced liver injury

Tillmann

Rockey

2020

Current Opinion in Gastroenterology

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Hepatotoxicity; Drug-Induced Liver Injury

Cited by 1 publication

References 93 publications

Signatures in drug-induced liver injury

Signatures in drug-induced liver injury

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