Anastrozole-induced autoimmune hepatitis: a rare case report and literature review.

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL
Oxford Medical Case Reports Pub Date : 2025-05-28 eCollection Date: 2025-05-01 DOI:10.1093/omcr/omaf062
Shahab Haghollahi, Rebecca M Wood, Abdol Aziz Ould Ismail, Bing Ren, Muhammad Z Afzal
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引用次数: 0

Abstract

Background: Anastrozole, an aromatase inhibitor (AI), has been used extensively for the treatment of estrogen receptor-positive breast cancer. Autoimmune hepatitis (AIH) is an extremely rare but serious complication of anastrozole treatment.

Case description: We present the case of an 81-year-old female who presented with significantly elevated liver function test (LFTs) results 8 months after the initiation of anastrozole for early-stage breast cancer. Serological and liver biopsy findings were consistent with AIH. Discontinuation of anastrozole, along with a short course of steroids, resulted in rapid clinical improvement and normalization of both LFTs and autoantibodies.

Conclusion: Clinicians should be aware of drug-induced AIH as a rare but life-threatening complication of anastrozole and potentially other aromatase inhibitors.

阿那曲唑致自身免疫性肝炎1例报告及文献复习。
背景:阿那曲唑是一种芳香化酶抑制剂(AI),已被广泛用于雌激素受体阳性乳腺癌的治疗。自身免疫性肝炎(AIH)是一种极为罕见但严重的阿那曲唑治疗并发症。病例描述:我们报告了一例81岁的女性,在阿纳曲唑治疗早期乳腺癌8个月后出现肝功能测试(LFTs)结果显著升高。血清学和肝活检结果与AIH一致。停用阿那曲唑,加上短期类固醇治疗,导致LFTs和自身抗体的快速临床改善和正常化。结论:临床医生应该意识到药物性AIH是阿那曲唑和其他芳香酶抑制剂罕见但危及生命的并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Oxford Medical Case Reports
Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
125
审稿时长
19 weeks
期刊介绍: Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.
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