Severe cholestasis related to intraconazole for the treatment of onychomycosis.

Talwalkar, J A; Soetikno, R E; Carr-Locke, D L; Berg, C L · Am J Gastroenterol · 1999

case_report · Level V

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Abstract

We describe a case of prolonged cholestasis temporally associated with the use of itraconazole for onychomycosis. Peak bilirubin level of 32.0 mg/dl was documented approximately 2 months after discontinuation of the patient's itraconazole therapy, with symptoms of cholestasis persisting more than 1 month after the peak in bilirubin. Physicians should be aware of the potential for severe cholestasis associated with itraconazole usage.

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