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Case Reports
. 2021 Oct;14(5):1503-1510.
doi: 10.1007/s12328-021-01475-7. Epub 2021 Jul 6.

Doxycycline-induced cholestatic liver injury

Sanskriti Varma  1 , John Nathanson  2 , Mitra Dowlatshahi  3 , Armando Del Portillo  3 , Ivonne Ramirez  2 , Reuben Garcia-Carrasquillo  2
Affiliations
Case Reports

Doxycycline-induced cholestatic liver injury

Sanskriti Varma et al. Clin J Gastroenterol. 2021 Oct.

Abstract

Doxycycline-induced liver injury is a rare phenomenon, with an unclear clinical course and etiopathogenesis. The onset of injury may be acute-to-subacute, with a pattern ranging from hepatocellular or cholestatic to mixed, and it often lasts up to several weeks. We present a case of cholestatic liver injury secondary to doxycycline use in a middle-aged woman. In patients with a history of doxycycline exposure and subsequent hepatic injury, an adverse drug reaction due to doxycycline should remain on the differential, and immediate removal of the offending agent with close monitoring of the clinical condition should be pursued.

Keywords: Cholestasis; Doxycycline; Drug reaction; Liver injury.

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