Toxin-Induced Autoimmune Hepatitis Caused by Raw Cashew Nuts.
A 64-year-old man with no past medical history presented with abnormally elevated liver enzymes 1 year after developing a diffuse rash thought to be related to eating large quantities of raw cashew nuts. Liver biopsy was performed, which revealed features concerning for drug- or toxin-induced autoimmune hepatitis. The patient began treatment with azathioprine and prednisone, and liver enzymes normalized. We describe a unique case of a toxin-induced autoimmune hepatitis precipitated not by a drug or dietary supplement but by a food product.
Division of Liver Diseases, Icahn School of Medicine at Mount Sinai, New York, NY.
James F
JF
Crismale
Department of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY.
Ashley
A
Stueck
Division of Liver Diseases, Icahn School of Medicine at Mount Sinai, New York, NY.
Meena
M
Bansal