Bortezomib-induced hepatotoxicity in a patient with multiple myeloma: A case report

Karam Karam , Houssein Chebbo , Sarah Saleh , Emanuel Youssef Dib , Elias Fiani , Maroun Sadek
{"title":"Bortezomib-induced hepatotoxicity in a patient with multiple myeloma: A case report","authors":"Karam Karam ,&nbsp;Houssein Chebbo ,&nbsp;Sarah Saleh ,&nbsp;Emanuel Youssef Dib ,&nbsp;Elias Fiani ,&nbsp;Maroun Sadek","doi":"10.1016/j.hmedic.2024.100099","DOIUrl":null,"url":null,"abstract":"<div><p>We describe a case of 72-year-old female patient diagnosed with multiple myeloma (MM) in 2023, who presented with generalized fatigue. Patient was found to have elevated liver enzymes on biochemical workup. Her hepatotoxicity was attributed to Bortezomib therapy after ruling out other etiologies. Initially, patient’s liver enzymes were normal prior to Bortezomib initiation. However, her liver enzymes started trending up at day 3 during her second session of Bortezomib. Liver function tests normalized 2 weeks after discontinuing Bortezomib. This fact points to a drug-induced liver injury (DILI) whereby Bortezomib is the likely culprit. Patient was started on thalidomide-containing regimen thereafter. Her liver enzymes remained within normal range following thalidomide-based regimen.</p></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"6 ","pages":"Article 100099"},"PeriodicalIF":0.0000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949918624000640/pdfft?md5=5dc913361d61c0bc3dcd3dd036cf41b5&pid=1-s2.0-S2949918624000640-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2949918624000640","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

We describe a case of 72-year-old female patient diagnosed with multiple myeloma (MM) in 2023, who presented with generalized fatigue. Patient was found to have elevated liver enzymes on biochemical workup. Her hepatotoxicity was attributed to Bortezomib therapy after ruling out other etiologies. Initially, patient’s liver enzymes were normal prior to Bortezomib initiation. However, her liver enzymes started trending up at day 3 during her second session of Bortezomib. Liver function tests normalized 2 weeks after discontinuing Bortezomib. This fact points to a drug-induced liver injury (DILI) whereby Bortezomib is the likely culprit. Patient was started on thalidomide-containing regimen thereafter. Her liver enzymes remained within normal range following thalidomide-based regimen.

"多发性骨髓瘤患者的硼替佐米肝毒性:病例报告"
我们描述了一例于 2023 年被诊断为多发性骨髓瘤(MM)的 72 岁女性患者的病例。生化检查发现患者肝酶升高。在排除其他病因后,她的肝毒性归因于硼替佐米治疗。开始使用硼替佐米前,患者的肝酶最初是正常的。然而,在第二个硼替佐米疗程的第 3 天,她的肝酶开始呈上升趋势。停用硼替佐米两周后,肝功能检测结果恢复正常。这一事实表明,硼替佐米可能是药物性肝损伤(DILI)的罪魁祸首。此后,患者开始接受含沙利度胺的治疗方案。在使用沙利度胺治疗方案后,她的肝酶仍在正常范围内。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信