RT Journal Article T1 Prolonged cholestasis after raloxifene and fenofibrate interaction: A case report. A1 Lucena González, María Isabel A1 Andrade Bellido, Raul Jesús A1 Vicioso Recio, Luis A1 González, F Jesús A1 Pachkoria, Ketevan A1 García-Muñoz, Beatriz K1 Drug-drug Interactions K1 Hepatotoxicity K1 Causality Assessment K1 Colestasis K1 Fenofibrato K1 Hígado K1 Hipolipemiantes K1 Raloxifeno K1 Biopsia K1 Moduladores Selectivos de los Receptores de Estrógeno K1 Mediana edad K1 Humanos K1 Femenino AB Assigning causality in drug-induced liver injury is challenging particularly when more than one drug could be responsible. We report a woman on long-term therapy with raloxifen who developed acute cholestasis shortly after starting fenofibrate. The picture evolved into chronic cholestasis. We hypothesized that an interaction at the metabolic level could have triggered the presentation of hepatotoxicity after a very short time of exposure to fenofibrate in this patient. The findings of an overexpression of vascular endothelial growth factor in the liver biopsy suggest that angiogenesis might play a role in the persistence of toxic cholestasis. PB Baishideng Publishing Group Co. Limited SN 1007-9327 (Print YR 2006 FD 2006-08-28 LK http://hdl.handle.net/10668/822 UL http://hdl.handle.net/10668/822 LA en NO Lucena González MI, Andrade Bellido RJ, Vicioso Recio L, González FJ, Pachkoria K, García-Muñoz B. Prolonged cholestasis after raloxifene and fenofibrate interaction: A case report. World J. Gastroenterol. 2006; 12(32):5244-6 NO Case Reports; Journal Article; Research Support, Non-U.S. Gov't; DS RISalud RD Apr 8, 2025