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[Hepatitis secondary to a gold salt overdose]. / Hépatite secondaire à un surdosage en un sel d'or.
Gastroenterol Clin Biol ; 8(8-9): 660-6, 1984.
Article en Fr | MEDLINE | ID: mdl-6489687
The authors report the case of a 51-year-old woman who developed cholestatic and cytolytic hepatitis after an overdose of sodium aurothiopropanol sulfonate 1.1 g, namely 300 mg gold metal. Liver biopsy demonstrated cholestasis, centrolobular steatosis and portal fibrosis. Electron microscopy showed abundant lipo-pigments in the hepatic and cellular cells, as well as myelinic bodies. Gold analysis by atomic absorption spectroscopy showed a level of 22.76 micrograms per ml in the plasma and a level of 2.16 micrograms per g in the liver. Chelating agents increased the urinary gold excretion, but were without effect on the course of hepatitis. Dimercaptopropanol seemed to favor the occurrence of other gold salt side-effects and penicillamine increased the hepatic cytolysis. The patient recovered without sequelae.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Compuestos Organometálicos / Colestasis Intrahepática / Dimercaprol / Enfermedad Hepática Inducida por Sustancias y Drogas / Oro / Antiinflamatorios Tipo de estudio: Observational_studies / Prognostic_studies Límite: Female / Humans / Middle aged Idioma: Fr Revista: Gastroenterol Clin Biol Año: 1984 Tipo del documento: Article Pais de publicación: Francia
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Compuestos Organometálicos / Colestasis Intrahepática / Dimercaprol / Enfermedad Hepática Inducida por Sustancias y Drogas / Oro / Antiinflamatorios Tipo de estudio: Observational_studies / Prognostic_studies Límite: Female / Humans / Middle aged Idioma: Fr Revista: Gastroenterol Clin Biol Año: 1984 Tipo del documento: Article Pais de publicación: Francia