Fulminant hepatic failure in nephrotic syndrome related to withdrawal of immunosuppressive therapy.

Abstract:

:Two patients with nephrotic syndrome developed fatal fulminant hepatitis B following withdrawal of prednisolone or cyclophosphamide. Immunosuppressive therapy probably enhanced hepatitis B virus (HBV) replication and widespread infection of hepatocytes; its withdrawal permitted a return of immune competence resulting in massive destruction of infected hepatocytes. Prior screening of all patients for hepatitis B surface antigen, gradual withdrawal of immunosuppressive drugs with careful monitoring, and prompt intervention with corticosteroids at the first clinical or biochemical signs of liver cell damage may prevent this complication.

journal_name

Postgrad Med J

authors

Onwubalili JK

doi

10.1136/pgmj.64.750.325

subject

Has Abstract

pub_date

1988-04-01 00:00:00

pages

325-7

issue

750

eissn

0032-5473

issn

1469-0756

journal_volume

64

pub_type

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