"Golf ball liver": agent orange hepatitis.
2,4-Dichlorophenoxyacetic acid (2,4-D) is a selective weedkiller which works by uncoupling oxidative phosphorylation and is in widespread use. It is known as "agent orange". A 65 year old man had acute hepatitis, thought to be caused by exposure to 2,4-D. The patient ingested 2,4-D as a result of habitual licking of his golf ball. Clinical and histological data together with a challenge test confirmed the diagnosis of "golf ball liver".
Leonard
C
C
Department of Medicine, James Connolly Memorial Hospital, Blanchardstown, Dublin, Ireland.
Burke
C M
CM
O'Keane
C
C
Doyle
J S
JS
D015085:2,4,5-Trichlorophenoxyacetic Acid / Q000506:poisoning*; D015084:2,4-Dichlorophenoxyacetic Acid / Q000506:poisoning*; D000368:Aged; D000075182:Agent Orange; D056486:Chemical and Drug Induced Liver Injury / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D003678:Defoliants, Chemical / Q000506:poisoning*; D006055:Golf; D006184:Habits; D006801:Humans; D008099:Liver / Q000473:pathology / Q000503:physiopathology; D008111:Liver Function Tests; D008297:Male; D000072317:Polychlorinated Dibenzodioxins / Q000506:poisoning*
D003678:Defoliants, Chemical; D000072317:Polychlorinated Dibenzodioxins; D015084:2,4-Dichlorophenoxyacetic Acid; D000075182:Agent Orange; D015085:2,4,5-Trichlorophenoxyacetic Acid