Oral contraceptive induced transaminitis versus antoimmune hepatitis. A case report

• Autores: C. Vidal López, G.L. Ríos Quito, C. Moll Tudurí
• Localización: European journal of clinical pharmacy: atención farmacéutica, ISSN 2385-409X, Vol. 15, Nº. 6, 2013, pág. 10
• Idioma: inglés
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• Resumen

  • To describe the case report of a female patient with oral contraceptives induced transaminitis detected in routine blood tests and initially diagnosed as autoimmune hepatitis (aiH). during the assessment, several laboratory tests were determined to establish the final diagnosis.

    On assessing these determinations together with the hospital pharmacist and Rheumatologist, and reviewing the diagnostic criteria of aiH it was reached to the conclusion that such diagnostic was doubtful and syndrome of transaminitis was suspected that was resolved on discontinuing the treatment. the pharmacist's collaboration was crucial in the differential diagnosis of alleged aiH and in the laboratory test review. the discussion considered by the pharmacist avoided a diagnostic error that would have involved inadequate chronic treatment with corticosteroids or azathioprine