THE DRUG-INDUCED HEPATITIS IN CHILDREN

Among toxic lesions of the liver, an important place belongs to medicinal hepatitis. Among patients with hepatitis, drug disease of the liver occurs in 0.7—1.4% of cases, and in the presence of jaundice — in 5%. A family case of sisters 9 and 4-year-old life development  of acute drug hepatitis caus...

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Main Authors: O. V. Molochkova, O. B. Kovalev, V. F. Uchaykin, V. A. Konev, Yu. S. Snetkova
Format: Article
Language:Russian
Published: LLC "Diagnostics and Vaccines" 2017-03-01
Series:Детские инфекции (Москва)
Subjects:
Online Access:https://detinf.elpub.ru/jour/article/view/277
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author O. V. Molochkova
O. B. Kovalev
V. F. Uchaykin
V. A. Konev
Yu. S. Snetkova
author_facet O. V. Molochkova
O. B. Kovalev
V. F. Uchaykin
V. A. Konev
Yu. S. Snetkova
author_sort O. V. Molochkova
collection DOAJ
description Among toxic lesions of the liver, an important place belongs to medicinal hepatitis. Among patients with hepatitis, drug disease of the liver occurs in 0.7—1.4% of cases, and in the presence of jaundice — in 5%. A family case of sisters 9 and 4-year-old life development  of acute drug hepatitis caused by ibuprofen in a daily dose of 32 mg / kg (total 3.2 g) and 25 mg / kg (total 2 g), respectively, was demonstrated in siblings. Hepatitis developed after an acute respiratory infection. Weakness, nausea, vomiting, jaundice of the skin and sclera, pruritus, multiple increase in serum transaminases and markers of cholestasis are revealed. Viral hepatitis and some hereditary liver diseases were excluded. The drug lesion of the liver was of a mixed nature: hepatocellular (cytotoxic) and cholestatic. Timely administration of therapy (detoxification, glucocorticosteroids, ursodeoxycholic acid (Ursosan) led to a regression of clinical symptoms of the disease and positive dynamics of laboratory indicators.
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spelling doaj.art-459f959d35514563b091a2936c4467382023-03-13T07:28:24ZrusLLC "Diagnostics and Vaccines"Детские инфекции (Москва)2072-81072017-03-01161425110.22627/2072-8107-2017-16-1-42-51270THE DRUG-INDUCED HEPATITIS IN CHILDRENO. V. Molochkova0O. B. Kovalev1V. F. Uchaykin2V. A. Konev3Yu. S. Snetkova4Российский национальный исследовательский медицинский университет имени Н. И. ПироговаРоссийский национальный исследовательский медицинский университет имени Н. И. Пирогова; Детская городская клиническая больница №9 имени Г. Н. СперанскогоРоссийский национальный исследовательский медицинский университет имени Н. И. ПироговаРоссийский национальный исследовательский медицинский университет имени Н. И. ПироговаДетская городская клиническая больница №9 имени Г. Н. СперанскогоAmong toxic lesions of the liver, an important place belongs to medicinal hepatitis. Among patients with hepatitis, drug disease of the liver occurs in 0.7—1.4% of cases, and in the presence of jaundice — in 5%. A family case of sisters 9 and 4-year-old life development  of acute drug hepatitis caused by ibuprofen in a daily dose of 32 mg / kg (total 3.2 g) and 25 mg / kg (total 2 g), respectively, was demonstrated in siblings. Hepatitis developed after an acute respiratory infection. Weakness, nausea, vomiting, jaundice of the skin and sclera, pruritus, multiple increase in serum transaminases and markers of cholestasis are revealed. Viral hepatitis and some hereditary liver diseases were excluded. The drug lesion of the liver was of a mixed nature: hepatocellular (cytotoxic) and cholestatic. Timely administration of therapy (detoxification, glucocorticosteroids, ursodeoxycholic acid (Ursosan) led to a regression of clinical symptoms of the disease and positive dynamics of laboratory indicators.https://detinf.elpub.ru/jour/article/view/277гепатотоксичностьлекарственный гепатитибупрофен (нурофен)детиурсодезоксихолевая кислотаурсосан
spellingShingle O. V. Molochkova
O. B. Kovalev
V. F. Uchaykin
V. A. Konev
Yu. S. Snetkova
THE DRUG-INDUCED HEPATITIS IN CHILDREN
Детские инфекции (Москва)
гепатотоксичность
лекарственный гепатит
ибупрофен (нурофен)
дети
урсодезоксихолевая кислота
урсосан
title THE DRUG-INDUCED HEPATITIS IN CHILDREN
title_full THE DRUG-INDUCED HEPATITIS IN CHILDREN
title_fullStr THE DRUG-INDUCED HEPATITIS IN CHILDREN
title_full_unstemmed THE DRUG-INDUCED HEPATITIS IN CHILDREN
title_short THE DRUG-INDUCED HEPATITIS IN CHILDREN
title_sort drug induced hepatitis in children
topic гепатотоксичность
лекарственный гепатит
ибупрофен (нурофен)
дети
урсодезоксихолевая кислота
урсосан
url https://detinf.elpub.ru/jour/article/view/277
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AT yussnetkova thedruginducedhepatitisinchildren
AT ovmolochkova druginducedhepatitisinchildren
AT obkovalev druginducedhepatitisinchildren
AT vfuchaykin druginducedhepatitisinchildren
AT vakonev druginducedhepatitisinchildren
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