Idiosyncratic Drug-Induced Liver Injury in a Healthy Patient following PCSK9-Inhibitor Injection

Background. Acute liver injury is a life-threatening condition with disparate aetiology. Swift and adequate interdisciplinary treatment is essential to assure the best possible outcomes in these patients. Investigations to identify the cause of the condition and the implementation of quick and appro...

Full description

Saved in:
Bibliographic Details
Main Authors: B.-O. Stüben, D. P. Hoyer, S. Radunz, F. Saner, H. Schmidt, H. A. Baba, J. W. Treckmann, L. I. Mazilescu
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Hepatology
Online Access:http://dx.doi.org/10.1155/2024/5556907
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832546817708916736
author B.-O. Stüben
D. P. Hoyer
S. Radunz
F. Saner
H. Schmidt
H. A. Baba
J. W. Treckmann
L. I. Mazilescu
author_facet B.-O. Stüben
D. P. Hoyer
S. Radunz
F. Saner
H. Schmidt
H. A. Baba
J. W. Treckmann
L. I. Mazilescu
author_sort B.-O. Stüben
collection DOAJ
description Background. Acute liver injury is a life-threatening condition with disparate aetiology. Swift and adequate interdisciplinary treatment is essential to assure the best possible outcomes in these patients. Investigations to identify the cause of the condition and the implementation of quick and appropriate treatment can be lifesaving. Case Presentation. In October 2022, an otherwise healthy 66-year-old male presented at the University Hospital Essen with acute liver injury following an inclisiran injection for hypercholesterinaemia. Four weeks following admission, the patient fully recovered after initially receiving short-term cortisol therapy and open albumin (OPAL) dialysis, and the indices of liver, kidney, and coagulation function were normal at discharge. Conclusion. This is to our knowledge the first reported acute liver injury due to an inclisiran injection. Cortisol in combination with OPAL dialysis is an effective method for the treatment of acute liver injury caused by inclisiran injury, and in this case, it led to a near-complete reversal of the acute liver injury at the time of discharge.
format Article
id doaj-art-8b601b7c52674f7295a515605b440a9d
institution Kabale University
issn 2090-6595
language English
publishDate 2024-01-01
publisher Wiley
record_format Article
series Case Reports in Hepatology
spelling doaj-art-8b601b7c52674f7295a515605b440a9d2025-02-03T06:47:13ZengWileyCase Reports in Hepatology2090-65952024-01-01202410.1155/2024/5556907Idiosyncratic Drug-Induced Liver Injury in a Healthy Patient following PCSK9-Inhibitor InjectionB.-O. Stüben0D. P. Hoyer1S. Radunz2F. Saner3H. Schmidt4H. A. Baba5J. W. Treckmann6L. I. Mazilescu7Department of GeneralDepartment of GeneralDepartment of GeneralDepartment of GeneralDepartment of Internal MedicineInstitute of PathologyDepartment of GeneralDepartment of GeneralBackground. Acute liver injury is a life-threatening condition with disparate aetiology. Swift and adequate interdisciplinary treatment is essential to assure the best possible outcomes in these patients. Investigations to identify the cause of the condition and the implementation of quick and appropriate treatment can be lifesaving. Case Presentation. In October 2022, an otherwise healthy 66-year-old male presented at the University Hospital Essen with acute liver injury following an inclisiran injection for hypercholesterinaemia. Four weeks following admission, the patient fully recovered after initially receiving short-term cortisol therapy and open albumin (OPAL) dialysis, and the indices of liver, kidney, and coagulation function were normal at discharge. Conclusion. This is to our knowledge the first reported acute liver injury due to an inclisiran injection. Cortisol in combination with OPAL dialysis is an effective method for the treatment of acute liver injury caused by inclisiran injury, and in this case, it led to a near-complete reversal of the acute liver injury at the time of discharge.http://dx.doi.org/10.1155/2024/5556907
spellingShingle B.-O. Stüben
D. P. Hoyer
S. Radunz
F. Saner
H. Schmidt
H. A. Baba
J. W. Treckmann
L. I. Mazilescu
Idiosyncratic Drug-Induced Liver Injury in a Healthy Patient following PCSK9-Inhibitor Injection
Case Reports in Hepatology
title Idiosyncratic Drug-Induced Liver Injury in a Healthy Patient following PCSK9-Inhibitor Injection
title_full Idiosyncratic Drug-Induced Liver Injury in a Healthy Patient following PCSK9-Inhibitor Injection
title_fullStr Idiosyncratic Drug-Induced Liver Injury in a Healthy Patient following PCSK9-Inhibitor Injection
title_full_unstemmed Idiosyncratic Drug-Induced Liver Injury in a Healthy Patient following PCSK9-Inhibitor Injection
title_short Idiosyncratic Drug-Induced Liver Injury in a Healthy Patient following PCSK9-Inhibitor Injection
title_sort idiosyncratic drug induced liver injury in a healthy patient following pcsk9 inhibitor injection
url http://dx.doi.org/10.1155/2024/5556907
work_keys_str_mv AT bostuben idiosyncraticdruginducedliverinjuryinahealthypatientfollowingpcsk9inhibitorinjection
AT dphoyer idiosyncraticdruginducedliverinjuryinahealthypatientfollowingpcsk9inhibitorinjection
AT sradunz idiosyncraticdruginducedliverinjuryinahealthypatientfollowingpcsk9inhibitorinjection
AT fsaner idiosyncraticdruginducedliverinjuryinahealthypatientfollowingpcsk9inhibitorinjection
AT hschmidt idiosyncraticdruginducedliverinjuryinahealthypatientfollowingpcsk9inhibitorinjection
AT hababa idiosyncraticdruginducedliverinjuryinahealthypatientfollowingpcsk9inhibitorinjection
AT jwtreckmann idiosyncraticdruginducedliverinjuryinahealthypatientfollowingpcsk9inhibitorinjection
AT limazilescu idiosyncraticdruginducedliverinjuryinahealthypatientfollowingpcsk9inhibitorinjection