[Hepatotoxicity of valproic acid treatment].

Abstract:

:Hepatotoxicity of valproic acid (VPA) is reported in a psychomotor retarded boy. A four-month antiepileptic therapy was followed by a combined VPA/phenytoin treatment where-upon, two months later, the patient died in a hepatic coma. In the final state the metabolic pattern of VPA was still found within the normal range with the exception of the two abnormal metabolites 4-en-VPA) (2-propyl-4-pentenoic acid) and 4.4'-dien-VPA (2-(2-propenyl-4-pentenoic acid) detected only in low concentration. The amino acid pattern in plasma was characterized by a decrease or branched chain amino acids by 50% in contrast to the increase of the aromatic amino acids. Methionine, however, was in the normal range. Due to lack of a biochemical parameter indicating a possibly irreversible development of VPA induced hepatotoxicity stopping of VPA therapy should be obligatory if abnormal unsaturated VPA metabolites are detected or if dien-VPA/3, a normal metabolic compound, is increased above the normal range. L-carnitine treatment is recommended as a prophylactic therapy.

journal_name

Klin Padiatr

journal_title

Klinische Padiatrie

authors

Keulen FP,Kochen W

doi

10.1055/s-2008-1034017

subject

Has Abstract

pub_date

1985-09-01 00:00:00

pages

431-6

issue

5

eissn

0300-8630

issn

1439-3824

journal_volume

197

pub_type

杂志文章
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    doi:

    authors: Jeschke R,Ströder J

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  • [Postoperative sonographic follow-up of brain tumors in childhood].

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  • [Antacids for postoperative prevention of stress ulcer in infants: a dose finding study].

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  • [Diagnosis of cerebral function disorders and subsequent brain damage in newborn infants under intensive care].

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  • [Duchenne-type muscular dystrophy: problems, early diagnosis, early treatment (author's transl)].

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    doi:

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    更新日期:1978-11-01 00:00:00

  • [Hereditary heterozygote factor VII deficiency].

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  • Symptom patterns in childhood arterial ischemic stroke: Analysis of a population-based study in Germany.

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  • [Diagnosis and therapy of primary defects of immunity (author's transl)].

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    doi:

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  • [Retrospective analysis of the clinical course of 12 children given the diagnosis essential thrombocythemia].

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    更新日期:2004-11-01 00:00:00

  • [Sonography of the larynx in children. New perspectives due to the use of computerized sonography: 2: Sonographic findings in a case of laryngeal papillomatosis].

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    pub_type: 杂志文章

    doi:10.1055/s-2007-1025304

    authors: Grunert D,Schöning M,Stier B,Klingebiel T

    更新日期:1989-05-01 00:00:00

  • [Acute leukemia in a 13-year old boy with a synchronous occurrence of lympho- and monoblasts (author's transl)].

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    doi:10.1055/s-2008-1034453

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    更新日期:1981-05-01 00:00:00

  • [Unusual course of a Guillain-Barré syndrome in connection with an RS-Virus infection in a 10 months old infant].

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    pub_type: 杂志文章

    doi:10.1055/s-2008-1034484

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