BMJ Case Reports 2012; doi:10.1136/bcr-2012-007283
  • Rare disease

Allopurinol-induced hepatomegaly

  1. Claire Dow
  1. Department of Care of the Elderly, Royal London Hospital, London, UK
  1. Correspondence to Dr Lucy Childs, lucychilds{at}


Allopurinol has long been recognised as a cause of hepatotoxicity; however, severe side effects remain rare. We report a case of allopurinol-induced hepatomegaly causing abdominal symptoms in an elderly woman after long-term allopurinol use.

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