Mahdavi Mortazavi Seyede Maryam, Ataollahi Maryam, Mashhadiagha Amirali, Moosavi Seyed Ali, Moshfeghinia Reze, Soheili Marzieh
Department of Pediatrics, School of Medicine, Namazi Teaching Hospital Shiraz University of Medical Sciences Shiraz Iran.
Department of Pediatrics, School of Medicine, Namazi Teaching Hospital, Abu Ali Sina Center for Medicine & Organ Transplant Shiraz University of Medical Sciences Shiraz Iran.
Clin Case Rep. 2023 Oct 4;11(10):e7976. doi: 10.1002/ccr3.7976. eCollection 2023 Oct.
Areca nut (AN) is an addictive substance widely used in different world regions. There are several side effects associated with the use of AN, which have already been reported. However, the reports on hepatotoxicity of AN are sporadic and non-conclusive. In the present case report, we investigated the hepatotoxicity of AN in a four-year-old Iranian girl who was transferred to our medical center with abdominal pain, vomiting, diarrhea, fever, and other symptoms such as hematuria, decreased mental status, multiple seizure episodes. After a comprehensive evaluation, it was concluded that these signs and symptoms were all attributed to AN consumption, which was given by her mother to control diarrhea. Eventually, the patient medical conditions were managed successfully, and she survived by intense medical care. In conclusion, we suggest AN should be considered a potential hepatotoxic agent.
槟榔是一种在世界不同地区广泛使用的成瘾性物质。使用槟榔会产生多种副作用，这些副作用已有报道。然而，关于槟榔肝毒性的报道零星且无定论。在本病例报告中，我们调查了一名四岁伊朗女孩的槟榔肝毒性，该女孩因腹痛、呕吐、腹泻、发热以及血尿、精神状态下降、多次癫痫发作等其他症状被转诊至我们的医疗中心。经过全面评估，得出结论这些体征和症状均归因于食用槟榔，槟榔是其母亲给她用来控制腹泻的。最终，患者的病情得到成功处理，通过强化医疗护理得以存活。总之，我们建议应将槟榔视为一种潜在的肝毒性物质。
