Dapagliflozin-Induced Acute-on-Chronic Liver Injury
Year: 2016
Type: article
Study design: Case Report
Abstract: Sodium-glucose cotransporter 2 inhibitors are a new class of oral hypoglycemic agents, and thus safety data are limited. We present a 48-year-old woman with type 2 diabetes mellitus and Child's Class A cirrhosis secondary to nonalcoholic steatohepatitis presenting with jaundice and acute cholestatic liver injury. Other than starting dapagliflozin, she reported no medication changes or supplement use. Before treatment, her total bilirubin was 1.2 mg/dL. On admission, her liver values were elevated and liver biopsy was consistent with drug-induced liver injury. This report raises awareness about the potential hepatotoxic effects of dapagliflozin, particularly in patients with chronic liver disease.
Source: ACG Case Reports Journal
Authors: Joshua A. Levine, Amy Ann Lo, Amisha Wallia, Melinda Rogers, Lisa B. Van Wagner
Institution: Northwestern University
Language: English
Subfield: Pharmacology
Domain: Life Sciences
Open Access status: diamond
OpenAlex ID: W2560709055