Case report: relieving the itch of cholestasis with corticosteroids in palliative care

Berger, Liora, Popov, Andrei Garcia and Berger, Brian (2015) Case report: relieving the itch of cholestasis with corticosteroids in palliative care. Journal of Palliative Medicine, 18 11: 913-914. doi:10.1089/jpm.2015.0304


Author Berger, Liora
Popov, Andrei Garcia
Berger, Brian
Title Case report: relieving the itch of cholestasis with corticosteroids in palliative care
Journal name Journal of Palliative Medicine   Check publisher's open access policy
ISSN 1096-6218
1557-7740
Publication date 2015-11-01
Sub-type Letter to editor, brief commentary or brief communication
DOI 10.1089/jpm.2015.0304
Open Access Status Not Open Access
Volume 18
Issue 11
Start page 913
End page 914
Total pages 2
Place of publication New Rochelle, NY, United States
Publisher Mary Ann Liebert
Collection year 2016
Language eng
Formatted abstract
Dear Editor:
Pruritus due to cholestasis is a challenge for physicians to manage and treat. In the palliative care setting there has been some success with the use of cholestyramine, hydroxyzine, and rifampicin.1 However, study numbers have been small and the differences in measuring instruments have made comparative analyses between treatments difficult.6 Naltrexone has been found to have a strong to moderate effect, but side effects such as nausea and vertigo have limited its use.2 The use of ursodeoxycholic acid has been effective in patients with cholestatic diseases and is the mainstay of treatment of intrahepatic cholestasis of pregnancy. There have been no published reports on the use of corticosteroids for the treatment of cholestatic pruritus in the palliative care setting.
Q-Index Code CX
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Letter to editor, brief commentary or brief communication
Collection: School of Medicine Publications
 
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