Hepatic steatosis secondary to capecitabine: a case report

<p>Abstract</p> <p>Introduction</p> <p>There are no known case reports of hepatic steatosis caused by oral fluoropyrimidines such as capecitabine. With increasing use of capecitabine since its approval for the treatment of metastatic colon cancer in 2001, and more recen...

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Main Authors: Siu Lillian L, Kim Tae K, Chin Sheray N
Format: Article
Language:English
Published: BMC 2010-07-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/4/1/227
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author Siu Lillian L
Kim Tae K
Chin Sheray N
author_facet Siu Lillian L
Kim Tae K
Chin Sheray N
author_sort Siu Lillian L
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>There are no known case reports of hepatic steatosis caused by oral fluoropyrimidines such as capecitabine. With increasing use of capecitabine since its approval for the treatment of metastatic colon cancer in 2001, and more recently for adjuvant treatment of colon cancer and treatment of metastatic breast cancer, we can anticipate increased recognition of potential toxicities associated with this 5-fluorouracil derivative.</p> <p>Case presentation</p> <p>We report the case of a 74-year-old Armenian woman who received capecitabine as adjuvant treatment for colon cancer and subsequently developed abnormal liver biochemical tests and radiographic findings in keeping with hepatic steatosis. There was complete reversal of liver enzyme abnormalities with discontinuation of the drug and this patient represents a case of reversible liver injury due to capecitabine.</p> <p>Conclusion</p> <p>In this original case report, capecitabine use was associated with hepatic steatosis. It is important for clinicians to recognize and monitor for this potential toxicity, which may be a cause of abnormal liver enzymes in this patient population.</p>
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spelling doaj.art-91bb3d3d5606423dae5c37515b66a01e2022-12-22T01:21:50ZengBMCJournal of Medical Case Reports1752-19472010-07-014122710.1186/1752-1947-4-227Hepatic steatosis secondary to capecitabine: a case reportSiu Lillian LKim Tae KChin Sheray N<p>Abstract</p> <p>Introduction</p> <p>There are no known case reports of hepatic steatosis caused by oral fluoropyrimidines such as capecitabine. With increasing use of capecitabine since its approval for the treatment of metastatic colon cancer in 2001, and more recently for adjuvant treatment of colon cancer and treatment of metastatic breast cancer, we can anticipate increased recognition of potential toxicities associated with this 5-fluorouracil derivative.</p> <p>Case presentation</p> <p>We report the case of a 74-year-old Armenian woman who received capecitabine as adjuvant treatment for colon cancer and subsequently developed abnormal liver biochemical tests and radiographic findings in keeping with hepatic steatosis. There was complete reversal of liver enzyme abnormalities with discontinuation of the drug and this patient represents a case of reversible liver injury due to capecitabine.</p> <p>Conclusion</p> <p>In this original case report, capecitabine use was associated with hepatic steatosis. It is important for clinicians to recognize and monitor for this potential toxicity, which may be a cause of abnormal liver enzymes in this patient population.</p>http://www.jmedicalcasereports.com/content/4/1/227
spellingShingle Siu Lillian L
Kim Tae K
Chin Sheray N
Hepatic steatosis secondary to capecitabine: a case report
Journal of Medical Case Reports
title Hepatic steatosis secondary to capecitabine: a case report
title_full Hepatic steatosis secondary to capecitabine: a case report
title_fullStr Hepatic steatosis secondary to capecitabine: a case report
title_full_unstemmed Hepatic steatosis secondary to capecitabine: a case report
title_short Hepatic steatosis secondary to capecitabine: a case report
title_sort hepatic steatosis secondary to capecitabine a case report
url http://www.jmedicalcasereports.com/content/4/1/227
work_keys_str_mv AT siulillianl hepaticsteatosissecondarytocapecitabineacasereport
AT kimtaek hepaticsteatosissecondarytocapecitabineacasereport
AT chinsherayn hepaticsteatosissecondarytocapecitabineacasereport