Sicca complex and cholangiostatic jaundice in two members of a family probably caused by thiabendazole.

Abstract:

:An entire family (father, mother, and three daughters) were given thiabendazole because one of the children had acquired pinworm infestation. The mother and one daughter (non-infected) developed a sicca complex (keratoconjunctivitis sicca and xerostomia) accompanied by cholangiostatic jaundice. Sjögren's syndrome is an autoimmune disease and presents many immune mechanism aberrancies. An association between autoimmune liver disease and sicca complex has been reported. Labeled mitochondrial antibodies bound to the parotid duct have been noted in patients with autoimmune cholangiostatic jaundice and such antibodies may be similar to the antibody against salivary duct found in Sjögren's syndrome. It is suggested that in these two patients, thiabendazole may have acted as a hapten and by binding to the body protein induced the production of autoantibodies which may have acted against the biliary epithelium, the salivary duct epithelium, and the lacrimal gland ducts.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Fink AI,MacKay CJ,Cutler SS

doi

10.1016/s0161-6420(79)35334-9

subject

Has Abstract

pub_date

1979-10-01 00:00:00

pages

1892-6

issue

10

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(79)35334-9

journal_volume

86

pub_type

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