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.