| Título : | 
					Acute hepatitis due to shen-min: a herbal product derived from Polygonum multiflorum | 
				 
					| Tipo de documento :  | 
					documento electrónico | 
				 
					| Autores :  | 
					Andrés Cárdenas,  ; Juan Carlos Restrepo Gutiérrez,  ; Fernando Sierra,  | 
				 
					| Fecha de publicación :  | 
					2006 | 
				 
					| Títulos uniformes : | 
					 Journal of Clinical Gastroenterology
  | 
				 
					| Idioma : | 
					Inglés (eng) | 
				 
					| Palabras clave :  | 
					Hepatitis  hepatotoxicity  drug-induced liver disease  liver failure  hair supplement  herbal products  shen-min  polygonum multiflorum | 
				 
					| Resumen :  | 
					Shen-Min is a herbal product sold as a supplement for women to enhance hair growth. It is widely available across Asia, Europe, and the United States and sold without prescription as a hair nutritional supplement. We describe a case of acute liver injury in a 28-year-old white woman who developed symptomatic hepatitis 8 weeks after starting Shen-Min. All other potential causes of acute hepatitis including viral, hypoxic/ischemic, metabolic, and autoimmune etiologies were excluded. The liver injury slowly resolved over 3 weeks after discontinuing the herbal product. Although the mechanism of Shen-Min hepatotoxicity is unknown, we suspect an idiosyncratic reaction because the patient developed a fine maculopapular rash, mild eosinophilia, and did not overdose. Shen-Min is a Chinese herbal product with a mixture of several plants and vitamins including Polygonum multiflorum, a root that has been previously associated with hepatotoxicity. Nonetheless to our knowledge this is the first reported case of herbal-induced hepatotoxicity in a patient taking Shen-Min per se. Clinicians taking care of patients with acute hepatitis of unclear etiology should be aware that the consumption of Shen-Min, a hair supplement widely available in the United States and Western countries might cause acute hepatitis. | 
				 
					| Mención de responsabilidad :  | 
					Cárdenas, Andrés MD, MMS; Restrepo, Juan Carlos MD; Sierra, Fernando MD, MMS; Correa, Gonzalo MD | 
				 
					| Referencia :  | 
					J Clin Gastroenterol. 2006 Aug;40(7):629-32. | 
				 
					| PMID :  | 
					16917407 | 
				 
					| En línea :  | 
					https://journals.lww.com/jcge/Abstract/2006/08000/Acute_Hepatitis_Due_to_Shen_Mi [...] | 
				 
					| Enlace permanente : | 
					https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis | 
				  
 
					Acute hepatitis due to shen-min: a herbal product derived from Polygonum multiflorum [documento electrónico] /  Andrés Cárdenas,  ;  Juan Carlos Restrepo Gutiérrez,  ;  Fernando Sierra,  . - 2006. Obra :   Journal of Clinical GastroenterologyIdioma : Inglés ( eng) 
					| Palabras clave :  | 
					Hepatitis  hepatotoxicity  drug-induced liver disease  liver failure  hair supplement  herbal products  shen-min  polygonum multiflorum | 
				 
					| Resumen :  | 
					Shen-Min is a herbal product sold as a supplement for women to enhance hair growth. It is widely available across Asia, Europe, and the United States and sold without prescription as a hair nutritional supplement. We describe a case of acute liver injury in a 28-year-old white woman who developed symptomatic hepatitis 8 weeks after starting Shen-Min. All other potential causes of acute hepatitis including viral, hypoxic/ischemic, metabolic, and autoimmune etiologies were excluded. The liver injury slowly resolved over 3 weeks after discontinuing the herbal product. Although the mechanism of Shen-Min hepatotoxicity is unknown, we suspect an idiosyncratic reaction because the patient developed a fine maculopapular rash, mild eosinophilia, and did not overdose. Shen-Min is a Chinese herbal product with a mixture of several plants and vitamins including Polygonum multiflorum, a root that has been previously associated with hepatotoxicity. Nonetheless to our knowledge this is the first reported case of herbal-induced hepatotoxicity in a patient taking Shen-Min per se. Clinicians taking care of patients with acute hepatitis of unclear etiology should be aware that the consumption of Shen-Min, a hair supplement widely available in the United States and Western countries might cause acute hepatitis. | 
				 
					| Mención de responsabilidad :  | 
					Cárdenas, Andrés MD, MMS; Restrepo, Juan Carlos MD; Sierra, Fernando MD, MMS; Correa, Gonzalo MD | 
				 
					| Referencia :  | 
					J Clin Gastroenterol. 2006 Aug;40(7):629-32. | 
				 
					| PMID :  | 
					16917407 | 
				 
					| En línea :  | 
					https://journals.lww.com/jcge/Abstract/2006/08000/Acute_Hepatitis_Due_to_Shen_Mi [...] | 
				 
					| Enlace permanente : | 
					https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis | 
				 
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