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[Hepatic veno-occlusive disease: report of a case]
E M Magnabosco1, M L Rivera, I R Prolla
1Sextanista do Curso de Medicina da Universidade Federal de Santa Maria.
Insights
Certain herbal teas, like "maria-mole" (Senecio brasiliensis), can cause Hepatic Veno-Occlusive Disease in children due to toxic pyrrolizidine alkaloids. Awareness and avoidance are crucial for preventing this serious liver condition.
Area of Science:
- Pediatrics
- Toxicology
- Hepatology
Context:
- Herbal teas are often perceived as harmless remedies.
- Pyrrolizidine alkaloids (PAs) found in some plants are known hepatotoxins.
- Hepatic Veno-Occlusive Disease (HVOD) is a serious vascular complication of the liver.
Purpose:
- To alert pediatricians to the potential dangers of certain herbal teas.
- To highlight a case of HVOD linked to herbal tea consumption.
- To emphasize the need for increased awareness regarding toxic herbal products.
Summary:
- A case report details a child who developed Hepatic Veno-Occlusive Disease (HVOD) and portal hypertension.
- The condition was attributed to chronic consumption of the herbal tea "maria-mole" (Senecio brasiliensis), containing hepatotoxic pyrrolizidine alkaloids.
- The patient fully recovered after treatment, underscoring the importance of identifying the causative agent.
Impact:
- Increased physician and public awareness of the risks associated with "innocuous" herbal teas.
- Potential reduction in pediatric cases of pyrrolizidine alkaloid-induced liver injury.
- Highlights the critical role of toxicology in evaluating commonly consumed substances.
Objective:
To alert the pediatricians about a disease caused by herbal teas considered harmless.
Methods:
Report of a case of Hepatic Veno-Occlusive Disease in a child and review of the literature (MEDLINE and LILACS).
Results:
Description of a case of a sudden beginning portal hypertension, secondary to Hepatic Veno-Occlusive Disease in a 2 year and 5 month-old-patient, coming from Cruz Alta-RS-Brazil, after a chronic consumption of herbal tea called "maria-mole" (Senecio brasiliensis), which contains pyrrolizidine alkaloids, known as hepatotoxic. After an adequate treatment, the patient presented a complete clinical and laboratorial recovery, and nowadays he doesńt show any symptoms anymore.
Conclusions:
Prevention of this disease depends on its divulgation among physicians and the general population, and the knowledge of toxic effects of many "innocuous" teas.
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