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Updated: Jan 28, 2026

Author Spotlight: Understanding the Effect of Herbal-Cake-Separated Moxibustion in Rats with Renal Faliure
Published on: December 22, 2023
Acute adrenal failure: a potentially fatal consequence of an adulterated herbal remedy
Harminder Sensi1, Harit Buch2, Loretta Ford3
1Chemical Pathology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.
Abstract:
Herbal remedies adulterated with glucocorticoids can cause Cushing's syndrome. We report a severe presentation of a 'herbal remedy' adulterated with glucocorticoids; causing a potentially fatal adrenal crisis precipitated by acute illness. Investigations were consistent with adrenal suppression and confirmed, after tablet analysis, to be due to a 'herbal remedy' containing synthetic betamethasone/dexamethasone. This case highlights the need for clinical vigilance and patient education about the potential risks associated with the use of unlicensed treatments and the role of tablet analysis in routine biochemistry.
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