title: [Two cases of toxic hepatitis caused by arrowroot juice].
abstract: 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.
authors.affiliation: Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
authors.forename: Seung Young
authors.initials: SY
authors.lastname: Kim
authors.forename: Hyung Joon
authors.initials: HJ
authors.lastname: Yim
authors.forename: Jae Hong
authors.initials: JH
authors.lastname: Ahn
authors.forename: Jeong Han
authors.initials: JH
authors.lastname: Kim
authors.forename: Jin Nam
authors.initials: JN
authors.lastname: Kim
authors.forename: Ik
authors.initials: I
authors.lastname: Yoon
authors.forename: Dong Il
authors.initials: DI
authors.lastname: Kim
authors.forename: Hong Sik
authors.initials: HS
authors.lastname: Lee
authors.forename: Sang Woo
authors.initials: SW
authors.lastname: Lee
authors.forename: Jai Hyun
authors.initials: JH
authors.lastname: Choi
mesh_terms: 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*
chemical_list: D010936:Plant Extracts; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase