Antinuclear Antibody-Positive Ticlopidine-Induced Hepatitis

Ticlopidine hydrochloride has been shown to reduce the risk of first or recurrent stroke in patients who have experienced a transient ischemic attack, reversible ischemic neurological deficit, recurrent stroke or first stroke. Severe liver dysfunction is a contraindication for its use. Increase in l...

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Main Authors: Sander Jo Veldhuyzen van Zanten, C William McCormick
Format: Article
Language:English
Published: Wiley 1996-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1996/894752
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author Sander Jo Veldhuyzen van Zanten
C William McCormick
author_facet Sander Jo Veldhuyzen van Zanten
C William McCormick
author_sort Sander Jo Veldhuyzen van Zanten
collection DOAJ
description Ticlopidine hydrochloride has been shown to reduce the risk of first or recurrent stroke in patients who have experienced a transient ischemic attack, reversible ischemic neurological deficit, recurrent stroke or first stroke. Severe liver dysfunction is a contraindication for its use. Increase in liver enzymes has been reported with use of this drug, but jaundice is rare. A case of severe ticlopidine-induced hepatitis that was associated with a marked increase in antinuclear antibody (ANA) levels is reported. Physicians prescribing ticlopidine hydrochloride should be aware that a potentially severe acute hepatitis associated with ANA positivity can occur. The drug should be discontinued if signs of liver dysfunction occur.
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institution Kabale University
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publishDate 1996-01-01
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series Canadian Journal of Gastroenterology
spelling doaj-art-4915b08ed85745299ff8b62434eed0322025-02-03T00:59:25ZengWileyCanadian Journal of Gastroenterology0835-79001996-01-0110423123210.1155/1996/894752Antinuclear Antibody-Positive Ticlopidine-Induced HepatitisSander Jo Veldhuyzen van Zanten0C William McCormick1Division of Gastroenterology and Division of Neurology, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaDivision of Gastroenterology and Division of Neurology, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaTiclopidine hydrochloride has been shown to reduce the risk of first or recurrent stroke in patients who have experienced a transient ischemic attack, reversible ischemic neurological deficit, recurrent stroke or first stroke. Severe liver dysfunction is a contraindication for its use. Increase in liver enzymes has been reported with use of this drug, but jaundice is rare. A case of severe ticlopidine-induced hepatitis that was associated with a marked increase in antinuclear antibody (ANA) levels is reported. Physicians prescribing ticlopidine hydrochloride should be aware that a potentially severe acute hepatitis associated with ANA positivity can occur. The drug should be discontinued if signs of liver dysfunction occur.http://dx.doi.org/10.1155/1996/894752
spellingShingle Sander Jo Veldhuyzen van Zanten
C William McCormick
Antinuclear Antibody-Positive Ticlopidine-Induced Hepatitis
Canadian Journal of Gastroenterology
title Antinuclear Antibody-Positive Ticlopidine-Induced Hepatitis
title_full Antinuclear Antibody-Positive Ticlopidine-Induced Hepatitis
title_fullStr Antinuclear Antibody-Positive Ticlopidine-Induced Hepatitis
title_full_unstemmed Antinuclear Antibody-Positive Ticlopidine-Induced Hepatitis
title_short Antinuclear Antibody-Positive Ticlopidine-Induced Hepatitis
title_sort antinuclear antibody positive ticlopidine induced hepatitis
url http://dx.doi.org/10.1155/1996/894752
work_keys_str_mv AT sanderjoveldhuyzenvanzanten antinuclearantibodypositiveticlopidineinducedhepatitis
AT cwilliammccormick antinuclearantibodypositiveticlopidineinducedhepatitis