Benign recurrent intrahepatic cholestasis: treatment with S-adenosylmethionine.

Abstract:

:S-Adenosylmethionine (800 mg i.v. per day) was used to treat two brothers and a brother and sister from each of two kindreds with benign recurrent intrahepatic cholestasis. Symptoms, routine tests of liver function, concentrations of total bile acids, and the oral clearances of [11,12-2H]chenodeoxycholic acid and [24-13C]cholic acid were determined before and after treatment with S-adenosylmethionine. S-Adenosylmethionine did not ameliorate symptoms or biochemical parameters of cholestasis but reduced bile acid clearances in 3 of 4 subjects. Transaminase levels in both subjects of one kindred rose during treatment. These limited, preliminary observations suggest that S-adenosylmethionine may be ineffective in the therapy of benign recurrent intrahepatic cholestasis and may be hepatotoxic in some patients.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Everson GT,Ahnen D,Harper PC,Krawitt EL

doi

10.1016/s0016-5085(89)80024-1

subject

Has Abstract

pub_date

1989-05-01 00:00:00

pages

1354-7

issue

5 Pt 1

eissn

0016-5085

issn

1528-0012

pii

S0016-5085(89)80024-1

journal_volume

96

pub_type

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