Tenofovir-Induced Leukocytoclastic Vasculitis

Tenofovir, a nucleotide analog, is one of the first-line medications recommended for the treatment of active chronic hepatitis B virus infection (CHB) and as a primary prophylaxis to prevent hepatitis B reactivation in cases of immunosuppression. We report the first case of tenofovir-induced leukocy...

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Veröffentlicht in:Oman medical journal 2017-09, Vol.32 (5), p.429-431
Hauptverfasser: Al-Hamadani , Aysha, Al-Busafi , Said A, Rasool , Wasif, Al-Suleimani , Abdulatif
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container_issue 5
container_start_page 429
container_title Oman medical journal
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creator Al-Hamadani , Aysha
Al-Busafi , Said A
Rasool , Wasif
Al-Suleimani , Abdulatif
description Tenofovir, a nucleotide analog, is one of the first-line medications recommended for the treatment of active chronic hepatitis B virus infection (CHB) and as a primary prophylaxis to prevent hepatitis B reactivation in cases of immunosuppression. We report the first case of tenofovir-induced leukocytoclastic vasculitis (LCV). A 43-year-old obese woman, who was known to have inactive CHB, was diagnosed with chronic immune thrombocytopenic purpura (ITP). She was treated with corticosteroid therapy and was put on tenofovir to prevent hepatitis B virus reactivation. A month later, she developed a skin rash, described as non-blanchable well-defined erythematous to violaceous papules and targetoid patches in her lower extremities. A skin biopsy showed features of LCV. The rash resolved completely within few days after replacing tenofovir with entecavir.
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subjects Case Report
Chronic active hepatitis
DIAGNOSIS
HEPATITIS
Hepatitis B
Leukocytoclastic Vasculitis
LIVER DISEASES
PATIENTS
Prevention
Tenofovir
THERAPY
Thrombotic thrombocytopenic purpura
VASCULITIS
أمراض الكبد
إلتهاب الأوعية
إلتهاب الكبد
التشخيص
العلاج
المرضى
title Tenofovir-Induced Leukocytoclastic Vasculitis
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