TABLE 5.
Demographics, clinical data, severity and outcome of patients according to ATC classes a
Antibacterials (n = 66) | Cardiovascular (n = 22) | Immunosuppressants (n = 17) | NSAID (n = 8) | CNS (n = 14) | |
---|---|---|---|---|---|
Age (years), mean ± SD | 64 ± 12 | 65 ± 13 | 48 ± 20 | 42 ± 11 | 51 ± 9.0 |
Female sex, n (%) | 42 (64%) | 12 (55%) | 13 (76%) | 2 (25%) | 7 (50%) |
Type of liver injury, n (%) | |||||
Hepatocellular | 30 (51%) | 8 (38%) | 12 (75%) | 5 (71%) | 10 (83%) |
Cholestatic | 11 (19%) | 8 (38%) | 0 (0%) | 1 (14%) | 0 (0%) |
Mixed | 18 (31%) | 5 (24%) | 4 (25%) | 1 (14%) | 2 (17%) |
Jaundice | 49 (78%) | 14 (64%) | 2 (13%) | 3 (38%) | 8 (67%) |
Hospitalization | 39 (61%) | 16 (73%) | 6 (38%) | 6 (75%) | 9 (69%) |
Rash | 7 (11%) | 1 (4.5%) | 0 (0%) | 0 (0%) | 0 (0%) |
Eosinophilia | 13 (21%) | 3 (14%) | 1 (6.7%) | 0 (0%) | 1 (8.3%) |
Lymphopenia | 19 (30%) | 4 (18%) | 2 (13%) | 2 (25%) | 1 (8.3%) |
Laboratory parameters at onset ( × ULN), median (IQR) | |||||
Total bilirubin | 4.5 (1.9–7.0) | 3.1 (1.2–5.6) | 0.6 (0.5–0.8) | 1.3 (0.9–3.4) | 5.0 (1.0–15) |
ALT | 12 (7.9–19) | 13 (7.0–30) | 11 (9.0–18) | 17 (11–32) | 25 (14–35) |
AST | 9.5 (4.8–16) | 12 (3.8–26) | 10 (5.7–13) | 17 (4.7–26) | 16 (3.5–21) |
ALP | 2.3 (1.5–3.5) | 3.6 (2.6–6.3) | 1.3 (1.0–2.7) | 2.2 (1.7–2.8) | 1.9 (1.3–2.2) |
New Hy's Law | 18 (29%) | 7 (32%) | 1 (6.3%) | 3 (38%) | 7 (54%) |
Severity | |||||
Mild | 17 (28%) | 9 (41%) | 11 (85%) | 5 (63%) | 4 (33%) |
Moderate | 39 (64%) | 12 (55%) | 0 (0%) | 2 (25%) | 6 (50%) |
Severe | 3 (4.9%) | 1 (4.5%) | 2 (15%) | 0 (0%) | 1 (8.3%) |
Fatal/liver transplantation | 2 (3.3%) | 0 (0%) | 0 (0%) | 1 (13%) | 1 (8.3%) |
Note: Immunosuppressants included were infliximab, azathioprine, leflunomide, adalimumab, natalizumab, vedolizumab.
Abbreviations: ALP, alkaline phosphatase; ALT, alanine aminotransferase; AST, aspartate aminotransferase; CNS, central nervous system; IQR, interquartile range; NSAID, non‐steroidal anti‐inflammatory drug; SD, standard deviation; ULN, upper limit of normal.
Only cases with a single causative agent.