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World J Gastroenterol ; 15(18): 2290-2, 2009 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-19437574

RESUMO

Fibrosing cholestatic hepatitis (FCH) is a variant of viral hepatitis reported in hepatitis B virus or hepatitis C virus infected liver, renal or bone transplantation recipients and in leukemia and lymphoma patients after conventional cytotoxic chemotherapy. FCH constitutes a well-described form of fulminant hepatitis having extensive fibrosis and severe cholestasis as its most characteristic pathological findings. Here, we report a case of a 49-year-old patient diagnosed with small-cell lung cancer who developed this condition following conventional chemotherapy-induced immunosuppression. This is the first reported case in the literature of FCH after conventional chemotherapy for a solid tumor. In addition to a detailed report of the case, a physiopathological examination of this potentially life-threatening condition and its treatment options are discussed.


Assuntos
Antineoplásicos , Colestase Intra-Hepática/etiologia , Fibrose/etiologia , Imunossupressores , Carcinoma de Pequenas Células do Pulmão/tratamento farmacológico , Antineoplásicos/efeitos adversos , Antineoplásicos/uso terapêutico , Colestase Intra-Hepática/patologia , Evolução Fatal , Fibrose/patologia , Hepacivirus , Vírus da Hepatite B , Humanos , Imunossupressores/efeitos adversos , Imunossupressores/uso terapêutico , Masculino , Pessoa de Meia-Idade , Carcinoma de Pequenas Células do Pulmão/patologia
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