Ann Dermatol.  2019 Aug;31(4):414-419. 10.5021/ad.2019.31.4.414.

Quantitative Analysis of Metal Contents in Korean Herbs and Herbal Products to Give Advice for Metal Allergic Patient

Affiliations
  • 1Department of Dermatology, Ewha Womans University College of Medicine, Seoul, Korea. uwon313@ewha.ac.kr

Abstract

BACKGROUND
Herbs have been used worldwide as complementary and alternative medicines. In Korea, herbs for medical purpose are strictly controlled by the Korea Food and Drug Administration (KFDA). But it does not provide standards for metal antigens.
OBJECTIVE
This study conducted to identify the metal contents of Korean herbs and herbal products and to give information on counselling metal allergic patient.
METHODS
The concentration of three metal allergens with high antigenicity, cobalt (Co), chromium (Cr), nickel (Ni) was quantitatively determined using inductively coupled plasma with a mass spectrometer after nitric acid (HNO₃) digestion. The herbal objects are as follows: 1) ten kinds of herb plants, 2) ten herbal products sold in Korean drugstores, and 3) ten herbal extracts prescribed by Korean herbal doctors.
RESULTS
In 30 samples, Ni and Cr were detected in all items. Co was not detected in two drugstore products.
CONCLUSION
Although the levels of metal detected in this study were very low relative to international guidelines and KFDA regulations, the herbal preparations contained similar or higher metal levels than known metal-rich foods. It can cause problems when it added to the daily diet and cause deterioration of skin lesions of metal sensitized person.

Keyword

Complementary therapies; Dermatitis; contact; Herbal medicine; Metals

MeSH Terms

Allergens
Chromium
Cobalt
Complementary Therapies
Dermatitis
Diet
Digestion
Herbal Medicine
Humans
Korea
Metals
Nickel
Nitric Acid
Plant Preparations
Plasma
Skin
Social Control, Formal
United States Food and Drug Administration
Allergens
Chromium
Cobalt
Metals
Nickel
Nitric Acid
Plant Preparations

Reference

1. Lim DO, Jung MJ, Park JS, Seo KS, Hwang JW, Kim EY, et al. Investigation of herbal medicine use and herbal medicine consumption situation in Korea. Cheongju: Korea Health Industry Development Institute;2014. p. 806. Report No.: 11-13520000-000547-12.
2. Obi E, Akunyili DN, Ekpo B, Orisakwe OE. Heavy metal hazards of Nigerian herbal remedies. Sci Total Environ. 2006; 369:35–41.
Article
3. Wong MK, Tan P, Wee YC. Heavy metals in some Chinese herbal plants. Biol Trace Elem Res. 1993; 36:135–142.
Article
4. Khan IA, Allgood J, Walker LA, Abourashed EA, Schlenk D, Benson WH. Determination of heavy metals and pesticides in ginseng products. J AOAC Int. 2001; 84:936–939.
Article
5. Vaikosen EN, Alade GO. Evaluation of pharmacognostical parameters and heavy metals in some locally manufactured herbal drugs. J Chem Pharm Res. 2011; 3:88–97.
6. Pharmaceutical Affairs Law Act of 2017 Dec 23 (KR), Pub. L. No. 13598, Article. 51 (Mar. 23, 2013). Korean.
7. Pharmaceutical Affairs Law Act of 2017 Dec 23 (KR), Pub. L. No. 13598, Article. 52 (Mar. 23, 2013). Korean.
8. Herbal Medicine Safety and Quality Control Regulation Act of 2016 Mar 30 (KR), Pub. L. No. 2016-21 (Mar. 30, 2016). Korean.
9. Food Sanitation Act of 2018 Jun 20 (KR), Pub. L. No. 15277, Article 7 (Dec. 19, 2017). Korean.
10. Kim KS, Cho HJ, Lee CH, Ahn KJ, Kang DG. A case of contact dermatitis due to herb ointment. Korean J Dermatol. 1990; 28:212–215.
11. de Medeiros LM, Fransway AF, Taylor JS, Wyman M, Janes J, Fowler JF Jr, et al. Complementary and alternative remedies: an additional source of potential systemic nickel exposure. Contact Dermatitis. 2008; 58:97–100.
Article
12. van Ulsen J, Stolz E, van Joost T. Chromate dermatitis from a homeopathic drug. Contact Dermatitis. 1988; 18:56–57.
Article
13. Audicana M, Bernedo N, Gonzalez I, Muñoz D, Fernández E, Gastaminza G. An unusual case of baboon syndrome due to mercury present in a homeopathic medicine. Contact Dermatitis. 2001; 45:185.
Article
14. Krecisz B, Chomiczewska D, Kiec-Swierczynska M, Kaszuba A. Systemic contact dermatitis to nickel present in cocoa in 14-year-old boy. Pediatr Dermatol. 2011; 28:335–336.
Article
15. Rietschel RL, Fowler JF, Fisher AA. Fisher's contact dermatitis. 6th ed. Hamilton: BC Decker Inc;2008. p. 651–652. p. 663–664. p. 668–669. p. 671–680.
16. Choi WS, Koo SW, Cho JH, Kim HJ, Lim YJ. the Nielsen company Korea, Seoul, KR. Daily dose study for herbal medicine-final report. Cheongju: the Ministry of Food and Drug Safety;2016. 11. Report No.: 15172-194. 242 p.
17. Jung JY. Korea Institute of Science and Technology, Daejeon, KR. The study of hazard materials monitoring and their intaking rate on oriental herbal medicine: heavy metal, pesticide and sulfur dioxide-final report. Cheongju: the Ministry of Food and Drug Safety;2016. 11. Report No.: 06082-201. 496 p.
18. Qi Z. WHO Traditional Medicine Strategy 2014-2023. Geneva, Switzerland: World Health Organization Press;2013. p. 78.
19. Kim JS, Lee KY, Cho LK, Yee NH, Jang MH, Park SH, et al. Korea Institute for Health and Social Affairs, Sejong, KR. Risk assessment of hazardous substances requiring management in oriental (herbal) medicine-final report. Seoul: Supported by the Ministry of Food and Drug Safety; 2015 Nov. Report No.: 15172-195. 376 p.
20. Jensen CS, Menné T, Johansen JD. Systemic contact dermatitis after oral exposure to nickel: a review with a modified meta-analysis. Contact Dermatitis. 2006; 54:79–86.
Article
21. Sharma AD. Low nickel diet in dermatology. Indian J Dermatol. 2013; 58:240.
Article
22. Kaaber K, Veien NK, Tjell JC. Low nickel diet in the treatment of patients with chronic nickel dermatitis. Br J Dermatol. 1978; 98:197–201.
Article
23. Antico A, Soana R. Nickel sensitization and dietary nickel are a substantial cause of symptoms provocation in patients with chronic allergic-like dermatitis syndromes. Allergy Rhinol (Providence). 2015; 6:56–63.
Article
24. Jacob SE, Hamann D, Goldenberg A, Connelly EA. Easter egg hunt dermatitis: systemic allergic contact dermatitis associated with chocolate ingestion. Pediatr Dermatol. 2015; 32:231–233.
Article
25. Han HJ, Lee BH, Park CW, Lee CH, Kang YS. A study of nickel content in Korean foods. Korean J Dermatol. 2005; 43:593–598.
26. Veien NK, Andersen MR. Nickel in Danish food. Acta Derm Venereol. 1986; 66:502–509.
27. Milani RF, Morgano MA, Saron ES, da Silva FF, Cadore S. Evaluation of direct analysis for trace elements in tea and herbal beverages by ICP-MS. J Braz Chem Soc. 2015; 26:1211–1217.
Article
28. Mohammed AL, Hammud KK, Zamil SK. Macro- and trace metals in three medicinal herbs collected from Baghdad, Iraq market. Int J Pharm Sci. 2014; 5:799–802.
29. Ekeanyanwu C, Njoku JO, Nwodu PO, Njokuobi AE. Analysis of some selected toxic heavy metals in some branded Nigerian herbal products. J Appl Pharm Sci. 2013; 3:88–91.
30. Soylak M, Cihan Z, Yilmaz E. Evaluation of trace element contents of some herbal plants and spices retailed in Kayseri, Turkey. Environ Monit Assess. 2012; 184:3455–3461.
Article
31. Naithani V, Kakkar P. Evaluation of heavy metals in Indian herbal teas. Bull Environ Contam Toxicol. 2005; 75:197–203.
Article
32. Sharma AD. Low chromate diet in dermatology. Indian J Dermatol. 2009; 54:293–295.
Article
33. Fregert S, Rorsman H. Allergic reactions to trivalent chromium compounds. Arch Dermatol. 1966; 93:711–713.
Article
34. Burrows D. Chromium and the skin. Br J Dermatol. 1978; 99:587–595.
Article
35. Ysart G, Miller P, Crews H, Robb P, Baxter M, De L'Argy C, et al. Dietary exposure estimates of 30 elements from the UK Total Diet Study. Food Addit Contam. 1999; 16:391–403.
Article
36. Stuckert J, Nedorost S. Low-cobalt diet for dyshidrotic eczema patients. Contact Dermatitis. 2008; 59:361–365.
Article
37. Hokin B, Adams M, Ashton J, Louie H. Analysis of the cobalt content in Australian foods. Asia Pac J Clin Nutr. 2004; 13:284–288.
Full Text Links
  • AD
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr