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Idiosyncratic drug-induced liver injury caused by givosiran in a patient with acute intermittent porphyria. | LitMetric

Idiosyncratic drug-induced liver injury caused by givosiran in a patient with acute intermittent porphyria.

Mol Genet Metab Rep

Department of Internal Medicine, Section on Gastroenterology and Hepatology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Published: March 2023

A 39-year-old woman with biochemically and clinically active acute intermittent porphyria (AIP) developed moderately severe liver injury after receiving her second dose of givosiran. Serologic evaluation ruled out hepatitis caused by viral, autoimmune, or other metabolic etiologies. The updated Roussel Uclaf Causality Assessment Method (RUCAM) score was 8 and the Revised Electronic Causality Assessment Method (RECAM) score for givosiran was 9. Results of liver tests returned to normal after givosiran was discontinued, and she has not received any more givosiran.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9791166PMC
http://dx.doi.org/10.1016/j.ymgmr.2022.100946DOI Listing

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