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Unusual Case of an Alcoholic with Liver Injury from Sulfasalazine Use

机译:服用柳氮磺胺吡啶导致肝损伤的酒精异常病例

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摘要

A 57-year-old male with a history of alcoholism presented to the emergency room with abdominal pain, jaundice, transaminitis, and hyperbilirubinemia. Due to the history of alcoholism, it was initially presumed that the patient had alcoholic hepatitis but further investigation revealed that he was recently started on sulfasalazine for the treatment of rheumatoid arthritis. Upon cessation of the drug, the patient's liver function tests significantly improved over a few days and eventually normalized within weeks. This case was interesting as the patient's history of alcoholism disguised the actual diagnosis. Furthermore, the late presentation of sulfasalazine-induced liver injury is uncommon as it commonly presents 2–4 weeks after initiation of therapy.
机译:一名患有酒精中毒史的57岁男性因腹痛,黄疸,转氨酶和高胆红素血症出现在急诊室。由于酒精中毒的病史,最初推测该患者患有酒精性肝炎,但进一步的调查显示该患者最近开始使用柳氮磺胺吡啶治疗类风湿性关节炎。停止使用该药物后,患者的肝功能测试会在几天内显着改善,并最终在数周内恢复正常。该病例很有趣,因为患者的酗酒史掩盖了实际诊断。此外,较晚出现柳氮磺胺吡啶引起的肝损伤并不常见,因为它通常在开始治疗后2-4周出现。

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