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Late effects following isoniazid therapy.
Author(s) -
John D. Boice,
J F Fraumeni
Publication year - 1980
Publication title -
american journal of public health
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.70.9.987
Subject(s) - isoniazid , medicine , cirrhosis , tuberculosis , pneumothorax , legionnaires' disease , isonicotinic acid , cancer , liver cancer , breast cancer , disease , gastroenterology , surgery , hydrazide , pathology , chemistry , legionella pneumophila , organic chemistry , biology , bacteria , genetics
Amont 338 women treated in Massachusetts with isoniazid (isonicotinic acid hydrazide = INH) for pulmonary tuberculosis, no excess cancer deaths occurred (8 observed vs 8.3 expected) after 23 years (12.9 mean) of follow-up. There was an excess of cancer deaths (54 vs 35.7) among 1,090 patients who did not receive INH, partly due to radiogenic breast cancer resulting from multiple chest fluoroscopies to monitor pneumothorax. Increased deaths from liver cirrhosis (5 vs 0.8) were observed following INH use, suggesting that chronic as well as acute liver disease complicate this treatment.

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