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Conjugated linoleic acid-induced toxic hepatitis: first case report
Rui Ramos1, Joana Mascarenhas, Patrícia Duarte
1Gastroenterology Department, Covilhã University Hospital, Quinta do Alvito, 6000-251 Covilhã, Portugal. ruimmramos@gmail.com
Digestive Diseases and Sciences
|August 23, 2008
Summary
Conjugated linoleic acid (CLA) supplementation may cause liver damage. This case report details a patient who developed jaundice and abnormal liver enzymes after taking CLA for weight loss, with symptoms resolving after discontinuation.
Area of Science:
- Hepatology
- Toxicology
- Nutritional Science
Background:
- Conjugated linoleic acid (CLA) is a popular dietary supplement used for weight management.
- Hepatotoxicity is a potential adverse effect of various medications and supplements.
- Differential diagnosis of jaundice includes viral, autoimmune, metabolic, and drug-induced liver injury.
Observation:
- A 46-year-old female presented with asthenia, jaundice, and pruritus.
- No history of viral hepatitis, autoimmune hepatitis, hemochromatosis, or Wilson's disease was noted.
- The patient reported recent self-medication with CLA for body fat reduction.
Findings:
- Liver biopsy confirmed hepatotoxicity, suspected to be induced by CLA.
- Cessation of CLA ingestion led to normalization of liver enzymes.
- This represents the first reported case of CLA-induced hepatotoxicity.
Implications:
- Clinicians should consider CLA as a potential cause of liver injury in patients with unexplained hepatotoxicity.
- Further research is warranted to understand the mechanisms and prevalence of CLA-induced liver damage.
- Dietary supplement-induced liver injury is an important clinical consideration in patients presenting with abnormal liver function tests.
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