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Fig. 2 | BMC Endocrine Disorders

Fig. 2

From: Administration of anti-receptor activator of nuclear factor-kappa B ligand (RANKL) antibody for the treatment of osteoporosis was associated with amelioration of hepatitis in a female patient with growth hormone deficiency: a case report

Fig. 2

Changes in the liver enzymes, body weight and IGF-1 after the initiation of hormone replacement and anti-RANKL antibody. After the replacement of hydrocortisone 5 mg/day and oral desmopressin 30 μg/day, the liver enzymes were unchanged. Three months later anti-RANKL antibody 60 mg was administered, and plasma levels of ALT and γGTP were decreased from 133 to 62 U/L and from 284 to 171 U/L, respectively. Reduction of liver enzymes was also confirmed after second and third administration of anti-RANKL antibody. GH and levothyroxin replacement were initiated between the second and the third administration of anti-RANKL antibody, and IGF-1 level was increased to normal range. However, the liver enzymes were not decreased by replacement with GH and levothyroxin. She gained 6.1 kg of weight during the treatment period

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