Theophylline ( Etheophyl(R) ) 에 의한 약물 유발성 간염 1 예

• Published in: Clinical and molecular hepatology Vol. 7; no. 2; pp. 213 - 215
• Main Authors: 임대욱, Dae Wook Rhim, 백순구, Soon Koo Baik, 박용순, Yong Soon Park, 박학천, Hark Cheon Park, 서정인, Jeong Ihn Seo, 김현수, Hyun Soo Kim, 리원연, Won Yeon Lee, 용석중, Suk Joong Yong, 신계철, Kye Chul Sin, 이동기, Dong Ki Lee, 권상옥, Sang Ok Kwon, 김태헌, Tae Heon Kim, 조미연, Mee Yon Cho
• Format: Journal Article
• Language: Korean
• Published: 대한간학회 23.06.2001
• Subjects: Hepatitis/Drug-induced; Theophylline; Theophylline 유발성 간염; 간염/약인성 간염
• ISSN: 2287-2728; 2287-285X

Theophylline has been widely used in the treatment of asthma and chronic obstructive lung disease. To date, there have been very few reports on hepatotoxicity due to theophylline. We diagnosed, through biochemical testing and a liver biopsy, a case of acute cholestatic hepatitis developed after oral consumption of theophylline. A 43 year-old man was admitted to the department of internal medicine due to jaundice and pruritus which developed after ten days administration of oral theophylline (Etheophyl). Liver function tests showed elevated serum bilirubin at 13.2 mg/dL with AST and ALT of 71 U/L and 194 U/L. Alkaline phosphatase and γ - GTP were also elevated at 175 U/L and 301 U/L. There was no evidence of viral or autoimmune hepatitis in laboratory tests. The patients symptoms and liver function tests were improved after conservative treatment. After 9 months oral theophylline was readministered for the control of relapsed asthma. Then, jaundice and pruritus again developed again. A liver biopsy showed a few lymphocytes and eosinophilic inflammatory cell infiltration in portal tract and cholestasis in the lobule. Drug - induced hepatitis was diagnosed with a typical clinical course, the exclusion of all possible causes of acute hepatic dysfunction,' and a positive response to accidental readministration of drug. We report this case with a review of the literature.