Document Detail


Fibrin ring granulomas and allopurinol.
MedLine Citation:
PMID:  2925064     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To test the hypothesis that allopurinol-associated granulomatous hepatitis may present itself with fibrin-ring granulomas, we requested details of such cases, as reported to the World Health Organization, from 13 national adverse reaction monitoring centers, and as reported in the literature. Details and histology of 6 cases were obtained and reviewed. All consisted of acute hypersensitivity signs with fever, rash, arthralgia, or eosinophilia as hallmarks, starting within 6 wk of commencing treatment with allopurinol. In all cases there were either epithelioid granulomas or granulomalike lesions, but none of these contained fibrin rings. It is concluded that, if fibrin-ring granulomas are a manifestation of allopurinol-induced granulomatous hepatitis, this feature is probably uncommon.
Authors:
B H Stricker; A P Blok; G Babany; J P Benhamou
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Gastroenterology     Volume:  96     ISSN:  0016-5085     ISO Abbreviation:  Gastroenterology     Publication Date:  1989 Apr 
Date Detail:
Created Date:  1989-04-27     Completed Date:  1989-04-27     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  0374630     Medline TA:  Gastroenterology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1199-203     Citation Subset:  AIM; IM    
Affiliation:
Netherlands Centre for Monitoring of Adverse Reactions to Drugs, Rijswijk, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Allopurinol / adverse effects*
Drug-Induced Liver Injury / etiology,  pathology*
Female
Fibrin / analysis
Granuloma / chemically induced*,  pathology
Humans
Male
Chemical
Reg. No./Substance:
315-30-0/Allopurinol; 9001-31-4/Fibrin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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