Лекарственные поражения печени (клинические рекомендации для врачей)

В.Т. Ивашкин, Андрей Юрьевич Барановский, Карина Леонидовна Райхельсон, Людмила Константиновна Пальгова, М.В. Маевская, Элина Александровна Кондрашина, Наталья Валерьевна Марченко, П. Некрасова, И.Г. Никитин

Результат исследований: Научные публикации в периодических изданияхстатьярецензирование

Аннотация

Aim. Clinical guidelines for the management of adult patients suffering from drug-induced liver injuries (DILI) are intended for all medical specialists, who treat such patients in their clinical practice. Key findings. The presented recommendations contain information about the epidemiological data, terminology, diagnostic principles, classification, prognosis and management of patients with DILI. The recommendations list pharmacological agents that most commonly cause DILI, including its fatal cases. Dose-dependent and predictable (hepatotoxic), as well as dose-independent and unpredictable (idiosyncratic) DILI forms are described in detail, which information has a particular practical significance. The criteria and types of DILI are described in detail, with the most reliable diagnostic and prognostic scales and indices being provided. The pathogenesis and risk factors for the development of DILI are considered. The clinical and morphological forms (phenotypes) of DILI are described. The diseases that are included into the differential diagnosis of DILI, as well as the principles of its implementation, are given. The role and significance of various diagnostic methods for examining a patient with suspected DILI is described, with the liver biopsy role being discussed. Clinical situations, in which DILI can acquire a chronic course, are described. A section on the assessment of causal relationships in the diagnosis of DILI is presented; the practical value of using the CIOMS-RUCAM scale is shown. All possible therapeutic measures and pharmacological approaches to the treatment of patients with various DILI phenotypes are investigated in detail. A particular attention is paid to the use of glucocorticosteroids in the treatment of DILI. Conclusion. The presented clinical recommendations are important for improving the quality of medical care in the field of hepatology.
Переведенное названиеDrug-Induced Liver Injuries (Clinical Guidelines for Physicians)
Язык оригиналарусский
Страницы (с-по)85-115
ЖурналРОССИЙСКИЙ ЖУРНАЛ ГАСТРОЭНТЕРОЛОГИИ, ГЕПАТОЛОГИИ, КОЛОПРОКТОЛОГИИ
Том29
Номер выпуска1
DOI
СостояниеОпубликовано - 2019

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Подробные сведения о темах исследования «Лекарственные поражения печени (клинические рекомендации для врачей)». Вместе они формируют уникальный семантический отпечаток (fingerprint).

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