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Antinuclear Antibody-Positive Ticlopidine-Induced Hepatitis
Author(s) -
S J Veldhuyzen van Zanten,
C. W. McCormick
Publication year - 1996
Publication title -
canadian journal of gastroenterology
Language(s) - English
Resource type - Journals
eISSN - 1916-7237
pISSN - 0835-7900
DOI - 10.1155/1996/894752
Subject(s) - ticlopidine , medicine , contraindication , anti nuclear antibody , jaundice , hepatitis , stroke (engine) , gastroenterology , anesthesia , antibody , immunology , autoantibody , pathology , myocardial infarction , mechanical engineering , alternative medicine , engineering , clopidogrel
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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