Article Text


Cholestatic jaundice caused by D-penicillamine.
  1. D Barzilai,
  2. G Dickstein,
  3. R Enat,
  4. H Bassan,
  5. C Lichtig,
  6. B Gellei


    D-penicillamine is not generally considered to cause hepatic damage. Cholestatic jaundice developed in a patient with rheumatoid arthritis 4 weeks after penicillamine was added to his regimen, and he died in acute renal failure. The probability that penicillamine caused the cholestasis is discussed.

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