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소화기내과(간)/약제유발성간염

약제 유발성 간손상에서 복통, Abdominal pain in drug induced liver injury

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약제 유발성 간염에서 복통이 있을 수는 있으나 많은 환자들에서는 무증상입니다.

Severe abdominal pain ?

이런 증상이 있는 환자에서 drug induced liver injury 가능성은 낮습니다.

Many patients with DILI are asymptomatic and are only detected because of laboratory testing. Patients with acute DILI who are symptomatic may report malaise, low-grade fever, anorexia, nausea, vomiting, right upper quadrant pain, jaundice, acholic stools, or dark urine. In addition, patients with cholestasis may have pruritus, which can be severe, leading to excoriations from scratching. Hepatomegaly may be present on physical examination. In severe cases, coagulopathy and hepatic encephalopathy may develop, indicating acute liver failure. [UpToDate 2019.06.09]

REF. UpToDate 2019.06.09

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