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Paracetamol induced hepatotoxicity
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  • Published on:
    Reply to : More blood tests in paracetamol overdose?
    • Subramanian BK Mahadevan, Consultant Paediatrician
    • Other Contributors:
      • Patrick McKiernan, Deirdre A Kelly. Liver Unit, Bimringham Children's Hospital, Bimringham

    Dear Editor,

    We welcome your interest in our paper(1) and in general agree with your comments. However, in our paper we wanted to emphasise the actions, which needed to be considered in the most severe cases.

    We agree that it is accepted practice not to perform further blood tests for those with paracetamol level below the treatment line at 4 hours post overdose and an overdose <150 mg/kg. However, t...

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    Conflict of Interest:
    None declared.
  • Published on:
    More blood tests in paracetamol overdose?
    • Ruth Owen, Paediatric SpR
    • Other Contributors:
      • Helen M Sammons, Consultant Paediatrician

    Dear Editor,

    We read with interest the recent article in Archives of Disease in Childhood concerning Paracetamol induced hepatotoxicity [1] and discussed it at Derbyshire Children’s Hospital’s Journal club. We found the management algorithm useful for knowing which patients we need to refer to a specialist unit.

    However, we felt that some clarification is needed regarding the issue of repeat blood tests i...

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    Conflict of Interest:
    None declared.