[Two cases of toxic hepatitis caused by arrowroot juice].
Herbal remedies and health foods are widely used, and their side effects have been reported. We describe two cases of symptomatic toxic hepatitis that developed in middle-aged women after ingesting arrowroot juice. The clinical manifestations were nausea, vomiting, and jaundice. The diagnosis of toxic hepatitis was made using the Roussel Uclaf Causality Assessment Method score on the basis of the patient's history and laboratory data. After supportive care, the patients showed rapid improvements of clinical symptoms, laboratory findings, and liver stiffness. Clinicians should be aware that the consumption of arrowroot juice can cause toxic hepatitis.
Kim
Seung Young
SY
Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
Yim
Hyung Joon
HJ
Ahn
Jae Hong
JH
Kim
Jeong Han
JH
Kim
Jin Nam
JN
Yoon
Ik
I
Kim
Dong Il
DI
Lee
Hong Sik
HS
Lee
Sang Woo
SW
Choi
Jai Hyun
JH
D000410:Alanine Transaminase / Q000097:blood; D001219:Aspartate Aminotransferases / Q000097:blood; D056486:Chemical and Drug Induced Liver Injury / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D054459:Elasticity Imaging Techniques; D005076:Exanthema / Q000150:complications; D005260:Female; D006801:Humans; D032426:Marantaceae / Q000737:chemistry*; D008875:Middle Aged; D010936:Plant Extracts / Q000633:toxicity*
D010936:Plant Extracts; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase