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Review of high-risk factors Previous studies have shown that the development of DILI depends not only on the offending drug but also on host-related risk factors, including advanced age, female sex, pre-existing or concomitant liver disease, metabolic syndrome and diabetes, heavy alcohol use, polypharmacy, and genetic susceptibility mediated by specific HLA alleles ( For SJS/TEN, major risk factors include genetic susceptibility (e.g., HLA-B15:02, HLA-B58:01), HIV infection, malignancy or autoimmune disease, chronic renal impairment, older age, and exposure to high-risk medications such as antiepileptics, allopurinol, certain antibiotics, and NSAIDs ( -lactam antibiotics are among the most common culprit drugs for severe cutaneous adverse reactions (SCARs) ( Clinical implications This study provides an initial clinical characterization of concurrent DILI and SJS/TEN and proposes a hypothetical mechanism by which moxifloxacin may trigger mixed hepatic and cutaneous hypersensitivity reactions in the setting of prior PD-1 exposure

10.1016/j.ebiom.2015.10.018 22 BaiJ.BarandouziZ

For comparison, the S&P 500 Index saw its dividend payout fall by about 20% over the same period

Chronic ethanol consumption has also been reported to be associated with decreased PTH secretion, which may also contribute to increased lipolysis by decreasing intracellular calcium levels in adipocytes (81)