Article: [A patient with rheumatoid arthritis who developed liver cirrhosis after increased soft drinks intake].
Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics
2022 Volume 59, Issue 2, Page(s) 244–248
Abstract: A Japanese woman in her 80s with rheumatoid arthritis (RA) was admitted for weakness, edema, and ascites. She was obese (148 cm in height, 60 kg in weight) and had a high gamma-glutamyltransferase level according to her laboratory findings before ... ...
Abstract | A Japanese woman in her 80s with rheumatoid arthritis (RA) was admitted for weakness, edema, and ascites. She was obese (148 cm in height, 60 kg in weight) and had a high gamma-glutamyltransferase level according to her laboratory findings before treatment. She had received methotrexate (MTX) at a dose of 6 mg/week for 1 year and 9 months. She had consumed large amounts of soft drinks (about 110 g of sugar/day) for a long time, but during the course of treatment for RA, she began drinking even more (170 g/day). Her condition improved with the discontinuation of MTX, adequate nutrition, and administration of diuretics. We diagnosed her with liver cirrhosis caused by both drug-induced hepatic injury due to MTX and by exacerbation of non-alcoholic steatohepatitis due to excessive sugar intake. |
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MeSH term(s) | Arthritis, Rheumatoid/complications ; Arthritis, Rheumatoid/drug therapy ; Carbonated Beverages ; Female ; Humans ; Liver Cirrhosis/chemically induced ; Liver Cirrhosis/drug therapy ; Methotrexate/adverse effects ; Sugars/adverse effects |
Chemical Substances | Sugars ; Methotrexate (YL5FZ2Y5U1) |
Language | Japanese |
Publishing date | 2022-06-01 |
Publishing country | Japan |
Document type | Journal Article |
ZDB-ID | 604107-3 |
ISSN | 0300-9173 |
ISSN | 0300-9173 |
DOI | 10.3143/geriatrics.59.244 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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