title: Herbal hepatitis: subacute hepatic necrosis secondary to chaparral leaf.
abstract: A 33-year-old woman developed subacute hepatic necrosis after several months of ingestion of Chaparral Leaf, an herbal product. Symptoms first appeared 3 months after she began taking the tablets. The patient unwittingly carried out a clinical challenge by reducing, then increasing, the dose of pills. The public and the medical profession must be wary of all "harmless" nonprescription medications, whether purchased in pharmacies or elsewhere.
authors.affiliation: Department of Medicine, Sunnybrook Medical Centre, University of Toronto, Ontario, Canada.
authors.forename: M
authors.initials: M
authors.lastname: Katz
authors.forename: F
authors.initials: F
authors.lastname: Saibil
mesh_terms: D000328:Adult; D002396:Catechols / Q000506:poisoning*; D056486:Chemical and Drug Induced Liver Injury / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D008099:Liver / Q000473:pathology*; D009637:Masoprocol / Q000506:poisoning*; D009336:Necrosis; D010939:Plant Poisoning / Q000150:complications*
chemical_list: D002396:Catechols; D009637:Masoprocol