Diphenylhydantoin-induced hepatic necrosis. A case study.

Abstract:

:A patient with post-traumatic seizure disorder developed lymphadenopathy, exfoliative dermatitis, and hepatic failure while on diphenylhydantoin therapy and died in hepatic coma. Autopsy disclosed massive hepatic necrosis. The clinical and pathological pictures are similar to the six previously reported cases of diphenylhydantoin-induced hepatic necrosis, with the exception of the time of onset of hepatic failure, which is explained. The cause of such hepatotoxicity is unknown, although hypersensitivity is postulated. It appears that studies of liver function in patients receiving diphenylhydantion are indicated to assess the true indicence of hepatocellular injury.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Lee TJ,Carney CN,Lapis JL,Higgins T,Fallon HJ

subject

Has Abstract

pub_date

1976-03-01 00:00:00

pages

422-4

issue

3

eissn

0016-5085

issn

1528-0012

pii

S0016508576000693

journal_volume

70

pub_type

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