Fever, hepatitis and acute interstitial nephritis in a patient with rheumatoid arthritis. Concurrent manifestations of azathioprine hypersensitivity.

Meys, E.;Devogelaer, Jean-Pierre;Geubel, André;Rahier, Jacques;Nagant de Deuxchaisnes, C
(1992) Journal of Rheumatology — Vol. 19, n° 5, p. 807-809 (1992)

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Authors
  • Meys, E.
    Author
  • Devogelaer, Jean-PierreUCLouvain
    Author
  • Geubel, AndréUCLouvain
    Author
  • Rahier, JacquesUCLouvain
    Author
  • Nagant de Deuxchaisnes, C
    Author
Abstract
We describe a patient with rheumatoid arthritis (RA) who developed hypersensitivity after 3 weeks of therapy with azathioprine with fever, jaundice and renal insufficiency. A percutaneous liver biopsy was compatible with hypersensitivity hepatitis. During azathioprine rechallenge, the symptoms recurred within a few days, consistent with the diagnosis of an acute hypersensitivity reaction. This report is the first to describe the association of an azathioprine induced hypersensitivity simultaneously involving the liver and the kidneys, in the same patient with RA, with resurgence after rechallenge.
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Meys, E., Devogelaer, J.-P., Geubel, A., Rahier, J., & Nagant de Deuxchaisnes, C. (1992). Fever, hepatitis and acute interstitial nephritis in a patient with rheumatoid arthritis. Concurrent manifestations of azathioprine hypersensitivity. Journal of Rheumatology, 19(5), 807-809. https://hdl.handle.net/2078.5/84781 (Original work published 1992)