Difference between revisions of "Drug toxicity"

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=General principles=
=General principles=
Drug reaction should be considered if there is:
A drug/toxin reaction should be considered if there is:
# Ingestion of drug.
# Ingestion/exposure.
# Temporal relation must be compatible.
# An appropriate temporal relation.
# Empirical correlation between the drug/toxin and the pattern.
# An empirical correlation between the drug/toxin and the pattern.
#* Worsening with re-challenge.
#* Worsening with re-challenge.
#* Improvement with removal of exposure.
#* Improvement with removal of exposure.

Revision as of 03:05, 22 March 2018

Drug toxicity, also drug reaction, in pathology is often a diagnosis of exclusion. Few drugs leave a distinctive histomorphologic pattern.

This article covers a few of the distinctive histomorphologic pattern and links to other articles that deal with specific organ systems.

General principles

A drug/toxin reaction should be considered if there is:

  1. Ingestion/exposure.
  2. An appropriate temporal relation.
  3. An empirical correlation between the drug/toxin and the pattern.
    • Worsening with re-challenge.
    • Improvement with removal of exposure.
    • Pathologic pattern matches with toxin.
    • Drug.

Site specific

Liver drug toxicity

Stomach

Small bowel

Specific drugs

Sodium polystyrene sulfonate

AKA Kayexalate (trade name).

General

  • Used to treat hyperkalemia.

Microscopic

Features:[1]

Image

Proton pump inhibitor

Nonsteroidal anti-inflammatory drugs

Oral contraceptive pill

Minocycline

Spironolactone

See also

References