title: Chromium-induced toxic hepatitis.
abstract: A clinical case of acute hepatitis in a patient undergoing an alternative medicine weight-reduction regimen is reported. Chromium polynicotinate had been ingested in combination with vegetable extracts over a 5-month period. Liver biopsy was compatible with toxic hepatitis and greatly elevated hepatic chromium levels were found (>10x normal). The clinical picture regressed following suspension of the medication.
authors.affiliation: Hospital Garcia de Orta, Av. Torrado Silva, 2800, Almada, Portugal
authors.forename: Sara
authors.initials: S
authors.lastname: Lança
authors.forename: Amanda
authors.initials: A
authors.lastname: Alves
authors.forename: Ana Isabel
authors.initials: AI
authors.lastname: Vieira
authors.forename: José
authors.initials: J
authors.lastname: Barata
authors.forename: João
authors.initials: J
authors.lastname: de Freitas
authors.forename: Alvaro
authors.initials: A
authors.lastname: de Carvalho