由草药兴奋剂“巧茶”引起的药物性肝损伤
Drug-Induced Liver Injury Caused by "Khat," an Herbal Stimulant.
作者信息
Palacios Argueta Pedro, Attar Bashar, Sikavi Cameron, Alagiozian-Angelova Victoria, Mishra Satya
机构信息
Internal Medicine Department, Cook County Health, Chicago, IL.
Department of Gastroenterology and Hepatology, Cook County Health, Chicago, IL.
出版信息
ACG Case Rep J. 2020 Nov 23;7(11):e00480. doi: 10.14309/crj.0000000000000480. eCollection 2020 Nov.
We describe a case of (Khat) drug-induced liver injury in a 28-year-old man from Yemen. The patient presented with jaundice, fatigue, and anorexia. Extensive workup, including liver biopsy, was performed. This is the first reported case in the United States without definite autoimmune hepatitis. Diagnosis requires high clinical suspicion and extensive workup. Increasing migration and differences in cultural practices lead to the need for an increased awareness of this type of cases, which is underreported.
我们描述了一例来自也门的28岁男性因恰特草药物导致肝损伤的病例。该患者出现黄疸、乏力和厌食症状。进行了包括肝活检在内的全面检查。这是美国首例无明确自身免疫性肝炎的报告病例。诊断需要高度的临床怀疑和全面检查。移民增加和文化习俗差异导致需要提高对这类报告不足病例的认识。
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