Acute hepatitis caused by alverine associated with anti-lamin A and C autoantibodies

J Hepatol. 1997 Aug;27(2):399-403. doi: 10.1016/s0168-8278(97)80187-0.

Abstract

We report the case of a 67-year-old woman in whom onset and regression of acute hepatitis were closely related to the time of administration and withdrawal of the smooth muscle relaxant alverine. Antinuclear antibodies were positive, and their titer followed the course of hepatitis. They presented a smooth rim-like nuclear immunofluorescence staining pattern. Immunoblot assay showed that they were directed against lamin A and lamin C. This suggests that alverine should be added to the list of drugs known to produce acute hepatitis, and that drug-induced liver injury is a possible cause of antinuclear antibodies specific for lamin A and lamin C.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Antibodies, Antinuclear / analysis
  • Autoantibodies / analysis*
  • Chemical and Drug Induced Liver Injury / immunology*
  • Colonic Diseases, Functional / drug therapy
  • Female
  • Fluorescent Antibody Technique, Indirect
  • Humans
  • Lamin Type A
  • Lamins
  • Nuclear Proteins / immunology*
  • Parasympatholytics / adverse effects*
  • Parasympatholytics / therapeutic use
  • Propylamines / adverse effects*
  • Propylamines / therapeutic use

Substances

  • Antibodies, Antinuclear
  • Autoantibodies
  • Lamin Type A
  • Lamins
  • Nuclear Proteins
  • Parasympatholytics
  • Propylamines
  • lamin C
  • alverine