Fatal portal hypertension, liver failure, and mitochondrial dysfunction after HIV-1 nucleoside analogue-induced hepatitis and lactic acidaemia
Identifieur interne : 001087 ( Main/Exploration ); précédent : 001086; suivant : 001088Fatal portal hypertension, liver failure, and mitochondrial dysfunction after HIV-1 nucleoside analogue-induced hepatitis and lactic acidaemia
Auteurs : Andrew Carr [Australie] ; Adrienne Morey [Australie] ; Patrick Mallon [Australie] ; David Williams [Australie] ; David R. ThorburnSource :
- The Lancet [ 0140-6736 ] ; 2001.
Descripteurs français
- Wicri :
- topic : Migrant.
English descriptors
- KwdEn :
- Acidaemia, Acute hepatitis, Analogue, Antiretroviral therapy, Black african, Black caribbean, Caribbean migrants, Dysfunction, Ethnic origin, Haart, Hepatic, Hepatic function, Hepatitis, High prevalence, Hypertension, Lactic, Lactic acidaemia, Lactic acidosis, Lancet, Lancet publishing group, Large mitochondria, Liver biopsy, Liver disease, Liver enzymes, Liver failure, Migrant, Mitochondrial, Mitochondrial dysfunction, Nucleoside, Nucleoside analogue therapy, Oral disease, Oral manifestations, Oral pathol, Oral surg, Oral warts, Paracrystalline inclusions, Persistent mitochondrial dysfunction, Portal, Portal hypertension, Present lactic acidaemia, Prevalence, Prevalence rates, Prothrombin time, Radiol endod, Recent migrants, Research letters, Shrunken liver, Smooth endoplasmic reticulum, Steatosis, Study area, Symptomfree patients, West africa, West african, West african descent, West africans.
- Teeft :
- Acidaemia, Acute hepatitis, Analogue, Antiretroviral therapy, Black african, Black caribbean, Caribbean migrants, Dysfunction, Ethnic origin, Haart, Hepatic, Hepatic function, Hepatitis, High prevalence, Hypertension, Lactic, Lactic acidaemia, Lactic acidosis, Lancet, Lancet publishing group, Large mitochondria, Liver biopsy, Liver disease, Liver enzymes, Liver failure, Migrant, Mitochondrial, Mitochondrial dysfunction, Nucleoside, Nucleoside analogue therapy, Oral disease, Oral manifestations, Oral pathol, Oral surg, Oral warts, Paracrystalline inclusions, Persistent mitochondrial dysfunction, Portal, Portal hypertension, Present lactic acidaemia, Prevalence, Prevalence rates, Prothrombin time, Radiol endod, Recent migrants, Research letters, Shrunken liver, Smooth endoplasmic reticulum, Steatosis, Study area, Symptomfree patients, West africa, West african, West african descent, West africans.
Abstract
Acute hepatitis with lactic acidosis is a life-threatening but reversible toxic effect on mitochondria of HIV-1 nucleosideanalogue treatment. We report fatal portal hypertension, liver failure, and persistent mitochondrial dysfunction in a man aged 65 years with HIV-1 infection who had recovered fromnucleoside-analogue-induced acute hepatitis and lactic acidaemia more than 18 months previously. We believe that symptomfree patients who receive nucleoside-analogue therapy should have hepatic function constantly monitored, especially those with past or present lactic acidaemia. Acute hepatitis with lactic acidosis is a toxic effect of HIV- 1 nucleoside analogues on mitochondria. 80 of patients with lactate greater than 10 mmol/L die. The longterm outcome of those who survive is unknown, but all reports have shown full recovery.
Url:
DOI: 10.1016/S0140-6736(00)04579-7
Affiliations:
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<term>Black caribbean</term>
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<term>Hepatitis</term>
<term>High prevalence</term>
<term>Hypertension</term>
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<term>Lactic acidaemia</term>
<term>Lactic acidosis</term>
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<term>Lancet publishing group</term>
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<term>Mitochondrial dysfunction</term>
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<term>Oral surg</term>
<term>Oral warts</term>
<term>Paracrystalline inclusions</term>
<term>Persistent mitochondrial dysfunction</term>
<term>Portal</term>
<term>Portal hypertension</term>
<term>Present lactic acidaemia</term>
<term>Prevalence</term>
<term>Prevalence rates</term>
<term>Prothrombin time</term>
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<term>Recent migrants</term>
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<front><div type="abstract">Acute hepatitis with lactic acidosis is a life-threatening but reversible toxic effect on mitochondria of HIV-1 nucleosideanalogue treatment. We report fatal portal hypertension, liver failure, and persistent mitochondrial dysfunction in a man aged 65 years with HIV-1 infection who had recovered fromnucleoside-analogue-induced acute hepatitis and lactic acidaemia more than 18 months previously. We believe that symptomfree patients who receive nucleoside-analogue therapy should have hepatic function constantly monitored, especially those with past or present lactic acidaemia. Acute hepatitis with lactic acidosis is a toxic effect of HIV- 1 nucleoside analogues on mitochondria. 80 of patients with lactate greater than 10 mmol/L die. The longterm outcome of those who survive is unknown, but all reports have shown full recovery.</div>
</front>
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