Reactions 1704, p335 - 2 Jun 2018 Hepatitis and synthetic liver failure: case report A 39-year-old woman developed hepatitis and synthetic liver failure during treatment with rivaroxaban for deep vein thrombosis (DVT). The woman was commenced on rivaroxaban 20mg daily [route not stated] for deep vein thrombosis of the left peroneus, and developed hepatitis and synthetic liver failure. Her liver function tests were markedly deranged at a clinical review 4 months following the initiation of rivaroxaban. Her ALT, AST, GGT were elevated. ALP was borderline. With the continued elevation in transaminases, synthetic function declined. A liver biopsy showed subacute hepatitis. The presence of multifocal centrilobular perivenular inflammation as well as mononuclear inflammatory infiltrate confirmed the diagnosis of drug-induced liver injury. Rivaroxaban was discontinued after a liver ultrasound confirmed that DVT had resolved. The woman made a rapid recovery thereafter; her laboratory parameters normalised in 4 weeks. Author comment: "We present a case of hepatitis and synthetic liver failure secondary to rivaroxaban". Peverelle M, et al. Drug-induced liver failure due to rivaroxaban. Annals of Hematology 2018: 12 May 2018. Available from: URL: http://doi.org/10.1007/ s00277-018-3364-z - Australia 803322758 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704
Reactions Weekly – Springer Journals
Published: Jun 2, 2018
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