2011•CME: Your SA Journal of CPDRequires access

Drug-induced liver injuries : main article

Mark Wayne Sonderup

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Abstract

Drug-induced liver injury (DILI) is a term increasingly being used by most clinicians and is synonymous with drug-induced hepatotoxicity. A succinct definition of a DILI is 'a liver injury induced by a drug or herbal medicine resulting in liver test abnormalities or liver dysfunction with a reasonable exclusion of other potential aetiologies'. DILIs are a recognised and clinically significant cause of acute, acute-on-chronic and, less commonly, chronic liver disease. The vast majority are idiosyncratic reactions in contrast to the less common dose-dependent predictable injury to drugs, such as paracetamol in overdose.

About this research paper

What this paper is about

Drug-induced liver injury (DILI) is a term increasingly being used by most clinicians and is synonymous with drug-induced hepatotoxicity. A succinct definition of a DILI is 'a liver injury induced by a drug or herbal medicine resulting in liver test abnormalities or liver dysfunction with a reasonable exclusion of other potential aetiologies'. DILIs are a recognised and clinically significant cause of acute, acute-on-chronic and, less commonly, chronic liver disease. The vast majority are idiosyncratic reactions in contrast to the less common dose-dependent predictable injury to drugs, such as paracetamol in overdose.

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Available abstract

Drug-induced liver injury (DILI) is a term increasingly being used by most clinicians and is synonymous with drug-induced hepatotoxicity. A succinct definition of a DILI is 'a liver injury induced by a drug or herbal medicine resulting in liver test abnormalities or liver dysfunction with a reasonable exclusion of other potential aetiologies'. DILIs are a recognised and clinically significant cause of acute, acute-on-chronic and, less commonly, chronic liver disease. The vast majority are idiosyncratic reactions in contrast to the less common dose-dependent predictable injury to drugs, such as paracetamol in overdose.

Key concepts: Liver injury, Drug, Medicine, Chronic liver disease, Liver disease, Intensive care medicine, Acetaminophen, Liver dysfunction

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