Fatal liver necrosis due to allopurinol.


  • S Pereira Serviço de Medicina 2, Hospital de S. João, Porto.
  • J Almeida
  • A O Silva
  • M Quintas
  • O Candeias
  • F Freitas




Allopurinol hypersensitivity syndrome (AHS) is a severe reaction which is potentially lethal. Exanthematous rash, fever, eosinophilia, and other severe reactions such as toxic epidermal necrolysis, acute vasculitis, and severe hepatic and renal dysfunctions are manifestations of this syndrome. The authors report a case of lethal massive hepatic necrosis due to allopurinol in a patient with the asymptomatic hyperuricemia. They also describe the risk factors most frequently associated with the development of AHS and the strategy for its prevention and consequent reduction of the mortality associated with this syndrome.


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How to Cite

Pereira S, Almeida J, Silva AO, Quintas M, Candeias O, Freitas F. Fatal liver necrosis due to allopurinol. Acta Med Port [Internet]. 1998 Dec. 30 [cited 2024 Feb. 25];11(12):1141-4. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/2351



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