An Overview of Drug-induced Liver Injury

Drug-induced liver injury (DILI) represents liver damage from various therapeutic drugs, herbal medicines, plants, or nutritional supplements. DILI is the most frequent reason for drug withdrawal and may lead to acute liver failure, liver transplant, or fatality. Its pathophysiology includes direct hepatotoxicity and idiosyncratic immune reactions. The diagnosis requires serum alanine aminotransferase or alkaline phosphatase elevation > 2-fold above the upper limit of normal, a causality assessment score ≥ 3, and exclusion of other possible causes of liver disease. While early diagnosis and drug discontinuation are imperative to recovery, continued drug exposure may lead to serious undesirable outcomes.