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A case of acute cholestatic hepatitis induced by Corydalis speciosa Max

Authors
Kang H.S.Choi H.S.Yun T.J.Lee K.G.Seo Y.S.Yeon J.E.Byun K.S.Um S.H.Kim C.D.Ryu H.S.
Issue Date
2009
Keywords
Hepatitis; Toxic: Plants; Medicinal: Cholestasis; Intrahepatic: Biopsy; Needle; 독성간염; 약초; 담즙정체; 간생검
Citation
The Korean journal of hepatology, v.15, no.4, pp.517 - 523
Indexed
SCOPUS
KCI
Journal Title
The Korean journal of hepatology
Volume
15
Number
4
Start Page
517
End Page
523
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/16510
DOI
10.3350/kjhep.2009.15.4.517
ISSN
1738-222X
Abstract
Herbs are widely used as treatments for various symptoms. However, several herbs have been reported to be inducers of liver injury. We report herein a case of hepatotoxicity induced by Corydalis speciosa Max. A 37-year-old male complained of jaundice and mild abdominal discomfort. A thorough history was taken, and laboratory investigation, diagnostic imaging studies, and percutaneous liver biopsy sampling were conducted to determine the cause of liver injury. An accurate cause was not revealed. We administered supportive management for acute cholestatic hepatitis of unknown origin, after which his symptoms disappeared and serum aminotransferase levels decreased gradually to near normal levels. However, at 2 months after discharge, the symptoms and the elevation of aminotransferase levels recurred. At that time he told us that he had repeatedly but unintentionally eaten a herb called Hwang-geun cho(Corydalis speciosa Max.). Thus, we diagnosed his case as herbal hepatotoxicity.
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