title: [Cholestatic hepatitis associated with piroxicam use. Case report].
abstract: Most nonsteroidal antiinflammatory drugs can produce hepatotoxicity. We report a 22 years old female who presented with an acute cholestatic hepatitis after a prolonged period of piroxicam use. Hepatitis was attributed to this drug since all markers for hepatitis virus (A, B, C, E, Epstein Barr, Cytomegalovirus and Herpex Simplex) were negative, autoimmune markers were negative, serum iron and ceruloplasmin were normal, there was a temporal relationship between the administration of piroxicam and the hepatitis, the histological picture was compatible with this etiology and the patient had a favorable evolution after the discontinuance of the drug. This type of hepatotoxicity is not common but it must be born in mind when patients must receive nonsteroidal antiinflammatory drugs for prolonged periods.
authors.affiliation: Laboratorio PCR-Gastroenterología, Hospital Clínico, Universidad de Chile.
authors.forename: J
authors.initials: J
authors.lastname: Poniachik
authors.forename: J
authors.initials: J
authors.lastname: Guerrero
authors.forename: P
authors.initials: P
authors.lastname: Calderón
authors.forename: G
authors.initials: G
authors.lastname: Smok
authors.forename: A
authors.initials: A
authors.lastname: Morales
authors.forename: G
authors.initials: G
authors.lastname: Muñoz
authors.forename: M
authors.initials: M
authors.lastname: Venegas
mesh_terms: D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects*; D056486:Chemical and Drug Induced Liver Injury / Q000209:etiology* / Q000473:pathology; D002779:Cholestasis / Q000139:chemically induced* / Q000473:pathology; D005260:Female; D006801:Humans; D010894:Piroxicam / Q000009:adverse effects*; D012463:Saliva
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D010894:Piroxicam