title: [Toxic hepatitis following consumption of the herbal medicinal product Cascara Sagrada].
abstract: Herbal medicinal products can cause toxic hepatitis. This case report presents a patient who developed severe toxic hepatitis with beginning liver failure following four weeks of consumption of the herbal medicinal product Cascara Sagrada. A similar case was reported from the United States. Cascara Sagrada is found in 30-40 herbal medicinal products in Denmark. We recommend that herbal medicinal products containing Cascara Sagrada be withdrawn from the market.
authors.affiliation: Koge Sygehus, Medicinsk Afdeling, Denmark. claire.jacobsen@dadlnet.dk
authors.forename: Claire
authors.initials: C
authors.lastname: Jacobsen
authors.forename: Synne
authors.initials: S
authors.lastname: Semb
authors.forename: Hans
authors.initials: H
authors.lastname: Kromann-Andersen
mesh_terms: D002400:Cathartics / Q000009:adverse effects*; D056486:Chemical and Drug Induced Liver Injury / Q000209:etiology*; D019587:Dietary Supplements / Q000009:adverse effects; D005260:Female; D006801:Humans; D008099:Liver / Q000187:drug effects / Q000473:pathology; D008875:Middle Aged; D008517:Phytotherapy / Q000009:adverse effects*; D031955:Rhamnus / Q000009:adverse effects*
chemical_list: D002400:Cathartics