title: Black Cohosh Hepatotoxicity with Autoimmune Hepatitis Presentation.
abstract: Herbal medicines have been used for the treatment of various ailments since time immemorial. Black cohosh (BC) is well known for the treatment of postmenopausal symptoms, with conflicting evidence supporting its safety and benefits. We present a rare case of BC-induced autoimmune hepatitis (AIH) with hepatotoxicity in a 69-year-old female. To our knowledge, this represents the third case of BC-induced AIH.
authors.affiliation: Gastroenterology Fellow, Mayo Clinic, Scottsdale, AZ, USA.
authors.forename: Diana L
authors.initials: DL
authors.lastname: Franco
authors.affiliation: Gastroenterology Fellow, Mayo Clinic, Scottsdale, AZ, USA.
authors.forename: Santosh
authors.initials: S
authors.lastname: Kale
authors.affiliation: Gastroenterology Fellow, Mayo Clinic, Scottsdale, AZ, USA.
authors.forename: Dora M
authors.initials: DM
authors.lastname: Lam-Himlin
authors.affiliation: Gastroenterology Fellow, Mayo Clinic, Scottsdale, AZ, USA.
authors.forename: M Edwyn
authors.initials: ME
authors.lastname: Harrison
keywords: Autoimmune hepatitis presentation; Black cohosh; Hepatotoxicity