PMID- 12361531 OWN - NLM STAT- MEDLINE DCOM- 20030107 LR - 20191025 IS - 0210-5705 (Print) IS - 0210-5705 (Linking) VI - 25 IP - 8 DP - 2002 Oct TI - [Variability of the clinical expression of Ecstasy-induced hepatotoxicity]. PG - 497-500 AB - 3,4-methylenedioxymethamphetamine (MDMA) is an amphetamine derivative, known as ecstasy. Because of its euphoric effects, the use of this substance as a drug of abuse is becoming increasingly widespread. The development of hyperthermia, disseminated intravascular coagulation, rhabdomyolysis, acute renal failure, cardiac arrhythmia and neurotoxicity have been described in association with the use of this drug. Moreover, in the last few years, cases of liver involvement, associated or not with the above-mentioned entities, have been described, ranging from mild acute hepatitis to fulminant hepatic failure and death. We present four cases of ecstasy-induced hepatotoxicity. Outcome was favorable in three patients while the fourth required liver transplantation. Consequently, ecstasy ingestion should be ruled out as a cause of acute non-viral hepat FAU - Nunez, O AU - Nunez O AD - Servicio de Aparato Digestivo, Seccion de Hepatologia, Hospital Universitario Gregorio Maranon, Madrid, Spain. FAU - Banares, R AU - Banares R FAU - Barrio, J AU - Barrio J FAU - Menchen, L AU - Menchen L FAU - Diego, A de AU - Diego Ad FAU - Salinero, E AU - Salinero E FAU - Clemente, G AU - Clemente G LA - spa PT - Case Reports PT - Comparative Study PT - Journal Article TT - Variabilidad de la expresion clinica de la toxicidad hepatica por extasis. PL - Spain TA - Gastroenterol Hepatol JT - Gastroenterologia y hepatologia JID - 8406671 RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Abdominal Pain/chemically induced MH - Adolescent MH - Adult MH - Biopsy MH - Chemical and Drug Induced Liver Injury/blood/diagnosis/*etiology/pathology/surgery MH - Cholestasis, Intrahepatic/chemically induced MH - Female MH - Fever/chemically induced MH - Hepatic Encephalopathy/chemically induced MH - Humans MH - Liver Transplantation MH - Male MH - N-Methyl-3,4-methylenedioxyamphetamine/*adverse effects MH - Vomiting/chemically induced EDAT- 2002/10/04 04:00 MHDA- 2003/01/08 04:00 CRDT- 2002/10/04 04:00 PHST- 2002/10/04 04:00 [pubmed] PHST- 2003/01/08 04:00 [medline] PHST- 2002/10/04 04:00 [entrez] AID - 13037619 [pii] AID - 10.1016/s0210-5705(02)70299-9 [doi] PST - ppublish SO - Gastroenterol Hepatol. 2002 Oct;25(8):497-500. doi: 10.1016/s0210-5705(02)70299-9.