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Case Reports
. 1990 Oct;228(4):409-10.
doi: 10.1111/j.1365-2796.1990.tb00254.x.

Gall-bladder perforation after long-term dapsone therapy

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Case Reports

Gall-bladder perforation after long-term dapsone therapy

A M Choy et al. J Intern Med. 1990 Oct.

Abstract

A 65-year-old man on maintenance dapsone therapy for dermatitis herpetiformis for 30 years was admitted to hospital with acute abdominal pain and vomiting. Investigations revealed a Heinz body haemolytic anaemia. Worsening symptoms prompted an emergency laparotomy that revealed a perforated gall bladder with pigmented biliary calculi. In previous reviews of the haematological abnormalities associated with dapsone therapy, life-threatening cholecystitis has not been described.

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