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The pattern of liver injury induced by methimazole is predominantly as cholestatic type,21,22,23 where those induced by PTU is of hepatocellular type in most cases.20,24,25 Pathologic findings of PTU-induced hepatic injury in human subjects revealed that this drug caused parenchymal necrosis with hemorrhage, collapse of lobular architecture, and preportal mixed inflammatory infiltrate.26 Hepatic abnormalities associated with methimazole are typical of a cholestatic process.22 Biopsy specimens from patients with methimazole-induced hepatic injury showed oedema and inflammation of portal tract with intracanalicular cholestasis and moderate microvascular steatosis.27,28 Fewer studies on the mechanisms and the pathogenesis of liver damage induced by these drugs are available

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