Korean J Hepatol.  2009 Dec;15(4):504-509. 10.3350/kjhep.2009.15.4.504.

Two cases of toxic hepatitis caused by arrowroot juice

Affiliations
  • 1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. gudwns21@medimail.co.kr

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.

Keyword

Arrowroot; Toxic hepatitis; Liver stiffness

MeSH Terms

Alanine Transaminase/blood
Aspartate Aminotransferases/blood
Drug-Induced Liver Injury/complications/*diagnosis/ultrasonography
Elasticity Imaging Techniques
Exanthema/complications
Female
Humans
Marantaceae/*chemistry
Middle Aged
Plant Extracts/*toxicity
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