2.3 Management and follow up
We immediately discontinued antileprotics for 2 weeks and patient was put on oral prednisone 40 mg per day for 1 week then 20 mg per day for another 1 more week. During follow up after 2 weeks, his LFTs were near normal (Table 2), and we prescribe him of ferrous sulfate with 200mg elemental iron per day for 14 days and continue antileprotics as usual with counselling when to return immediately to hospital at the earliest in case of fever, rash or abdominal pain. The diagnosis of DIH was made based on various clinical manifestations and laboratory abnormalities, ruling out other possible differential diagnoses.