Philips Cyriac A, Augustine Philip, Paramaguru Rajaguru, Ahamed Rizwan, Padsalgi Guruprasad
Gastroenterology, Cochin Gastroenterology Group, Kochi, IND.
Pathology, PVS Memorial Hospital, Ernakulam, IND.
Cureus. 2019 Feb 22;11(2):e4122. doi: 10.7759/cureus.4122.
We present the rare case of a young male with sinusoidal obstruction syndrome due to Ayurvedic herbal medicine which he took for management of bilateral leg swelling associated with protein-losing enteropathy due to intestinal lymphangiectasia. The patient developed progressive sinusoidal fibrosis leading to cirrhosis on long term follow-up. In a diagnosis that took three years to conclude, we showcase serial liver biopsies that reveal the rare disease progression. Complementary and alternative medicine use among apparently healthy population is a potentially modifiable risk factor for liver diseases, in the presence of adequate public health education from concerned authorities.
我们报告了一例罕见病例，一名年轻男性因服用阿育吠陀草药而患上窦性阻塞综合征，他服用该草药是为了治疗因肠道淋巴管扩张症导致的蛋白丢失性肠病伴双侧腿部肿胀。在长期随访中，患者出现了进行性窦性纤维化，最终发展为肝硬化。在一个耗时三年才得出诊断结果的病例中，我们展示了系列肝脏活检结果，这些结果揭示了这种罕见疾病的进展情况。在相关当局进行充分的公共卫生教育的情况下，在看似健康的人群中使用补充和替代医学是肝脏疾病一个潜在的可改变的危险因素。
