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Published Case Report in ‘Japanese Journal of Gastroenterology and Hepatology’

Long-Term Follow-Up of Overdose of Iron Tablets in Adult Successfully Managed Without Liver Transplant: A Case Report

Case Report ISSN: 2435-1210 Volume 9

Iron toxicity is common in children because of accidental ingestion. However, there are very less reports of adults with suicidal attempts. We report a case of 19 years old who developed acute liver injury 48 hrs after the deliberate consumption of a large dose of iron tablets. Laboratory tests for other hepatotoxins were negative. Although the peak iron level was lower 197 μg/dl than the hepatotoxic level, there was significant acute liver injury reflected by rise in Total bilirubin (10 mg %), Serum glutamic pyruvic transaminase (3014 U/L), and International normalization ratio (4.5). Treatment with deferoxamine was given along with other symptomatic treatments. This case was managed conservatively without a liver transplant. We also report the longest follow-up period showing clinical, biochemical and radiological changes in this case report.

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