Liver injuries induced by herbal medicine, syo-saiko-to (xiao-chai-hu-tang).

Abstract:

:Four patients treated with the herbal medicine syo-saiko-to (xiao-chai-hu-tang) exhibited acute drug-induced liver injury. The latent period was one and a half to three months. All of the patients showed a rise in aminotransferases after readministration or challenge test. The liver histology revealed centrilobular confluent necrosis or spotty necrosis, microvesicular fatty change, acidophilic degeneration, and a granuloma. Cholestasis was seen in two patients. The results of the [13C]aminopyrine breath test, performed in one patient, were low before the challenge test and even lower after the challenge. These findings suggest that the herbal medicine syo-saiko-to may induce acute injury or the hepatocellular pattern with variable cholestasis.

journal_name

Dig Dis Sci

authors

Itoh S,Marutani K,Nishijima T,Matsuo S,Itabashi M

doi

10.1007/BF02212712

subject

Has Abstract

pub_date

1995-08-01 00:00:00

pages

1845-8

issue

8

eissn

0163-2116

issn

1573-2568

journal_volume

40

pub_type

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