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Mistletoe hepatitis.

J Harvey, D G Colin-Jones

British Medical Journal (Clinical Research Ed.)

|January 17, 1981

Summary

This summary is machine-generated.

Herbal remedies containing mistletoe can cause hepatitis. A patient experienced liver issues after consuming a herbal supplement, with mistletoe identified as the likely culprit.

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Area of Science:

Hepatology
Toxicology
Herbal Medicine

Background:

Hepatitis is a liver inflammation with various causes.
Herbal remedies are increasingly popular but can have adverse effects.
Mistletoe is a common ingredient in traditional herbal preparations.

Observation:

A 49-year-old woman presented with symptoms suggestive of hepatitis.
Her liver function tests indicated inflammation, but common causes like Hepatitis B were ruled out.
Her symptoms recurred after ingesting a herbal remedy containing kelp, motherwort, skullcap, and mistletoe.

Findings:

A challenge test confirmed the herbal remedy as the cause of her illness.
Mistletoe was identified as the probable toxic component responsible for the hepatitis.

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This case highlights a potential iatrogenic cause of hepatitis from herbal medicine.

Implications:

Clinicians should consider herbal remedies, particularly those containing mistletoe, as a potential cause of hepatitis.
Further research is needed to understand the hepatotoxicity of mistletoe and other herbal constituents.
Patients should be advised about the potential risks associated with consuming herbal supplements.