Albumin dialysis with MARS for the treatment of anabolic steroid-induced cholestasis

被引：14

作者：

Diaz, Francia C. ^{[1
]}

Saez-Gonzalez, Esteban ^{[1
]}

Benlloch, Salvador ^{[1
,2
,3
]}

Alvarez-Sotomayor, Diego ^{[1
]}

Conde, Isabel ^{[1
,2
]}

Polo, Begona ^{[4
]}

Garcia, Maria ^{[1
,2
]}

Rodriguez, Maria ^{[5
]}

Prieto, Martin ^{[1
,2
,3
]}

机构：

[1] La Fe Univ Hosp, Hepatol & Liver Transplantat Unit, Dept Gastroenterol, Valencia, Spain

[2] La Fe Med Res Inst, Expt Hepatol Unit, Valencia, Spain

[3] CIBERehd Networked Biomed Res Ctr Hepat & Digest, Madrid, Spain

[4] La Fe Univ Hosp, Dept Paediat Gastroenterol, Valencia, Spain

[5] Hosp Gen Univ Alicante, Liver Unit, Dept Digest Dis, Alicante, Spain

来源：

ANNALS OF HEPATOLOGY | 2016年 / 15卷 / 06期

关键词：

Druginduced liver disase; Cholestasis; Liverfailure; Extracorporeal liver support; Pruritus; ADSORBENT RECIRCULATING SYSTEM; ANDROGENIC STEROIDS; HEPATOTOXICITY; FAILURE; INJURY;

D O I：

10.5604/16652681.1222114

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background and aims. Steroid-related hepatotoxicity has become one of the most relevant causes of drug induced liver cholestasis. some patients do not improve after standard medical treatment (SMT) and may therefore require other approaches, like extracorporeal liver support Material and methods. We report four cases of patients with pruritus,abnormal liver function tests and biopsy-proven anabolic steroid-indued cholestasis who were unresponsive to SMT. They underwent treatment with albumindiaysis (Molecular Adsorbent Recirculating system MARS (R)) A minimum of two MARS sesions were performed. Results. After MARS (R) procedure, patients sympotoms improved, as well as liver function tests thus avoiding liver transplantation. Conculusion. Albumin dialysis appears as a valuable therapeutic option for the management of anabolic steroid-induced cholestasis in patients that are un responsive to SMT.

引用

页码：939 / 943

页数：5

共 50 条

[21] ANABOLIC STEROID-INDUCED TENDON PATHOLOGY - A REVIEW OF THE LITERATURE
LASETER, JT
RUSSELL, JA
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 1991, 23 (01): : 1 - 3
[22] Anabolic Androgenic Steroid-Induced Cardiomyopathy and Cardiogenic Shock
Yabut, J.
Lima, G.
Grover, P.
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2022, 205
[23] Anabolic Steroid-Induced Myocardial Infarction in a Young Male
Samreen, Fnu
Popal, Ubaidullah
Baloch, Zulfiqar A. Qutrio
CUREUS JOURNAL OF MEDICAL SCIENCE, 2021, 13 (02)
[24] Anabolic androgenic steroid-induced liver injury: An update
Petrovic, Ana
Vukadin, Sonja
Sikora, Renata
Bojanic, Kristina
Smolic, Robert
Plavec, Davor
Wu, George Y.
Smolic, Martina
WORLD JOURNAL OF GASTROENTEROLOGY, 2022, 28 (26) : 3071 - 3080
[25] Anabolic steroid induced cholestasis secondary to a dietary supplement
Feng, Zhen Zhou
McMahon, Jeffrey
Gordon, Stuart C.
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2006, 101 (09): : S375 - S375
[26] Anabolic Steroid-Induced Hepatitis and Portal Gastropathy in a Young Bodybuilder
Sehgal, Rishi K.
Ranpura, Vishal
GASTROENTEROLOGY, 2011, 140 (05) : S599 - S599
[27] Anabolic steroid-induced hepatic adenomas with spontaneous haemorrhage in a bodybuilder
Bagia, S
Hewitt, PM
Morris, DL
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 2000, 70 (09): : 686 - 687
[28] THE TREATMENT OF STEROID-INDUCED OSTEOPOROSIS
BUTLER, RC
MARTIN, JC
JOURNAL OF ORTHOPAEDIC RHEUMATOLOGY, 1994, 7 (03): : 139 - 143
[29] EpitiostanolAnabolic steroid-induced intrahepatic cholestasis: 4 case reports
Reactions Weekly, 2017, 1633 (1) : 306 - 306
[30] Treatment of resistant pruritus of cholestasis with albumin dialysis (MARS). Combined analysis of patients from three centers
Pares, A.
Herrera, M.
Aviles, J.
Mas, A.
JOURNAL OF HEPATOLOGY, 2008, 48 : S329 - S329

← 1 2 3 4 5 →