Acute hepatitis due to shen-min: a herbal product derived from Polygonum multiflorum / Andrés Cárdenas ; Juan Carlos Restrepo Gutiérrez ; Fernando Sierra  

Público ISBD 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_display&id=3445 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 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_display&id=3445

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Orthotopic liver transplantation in an adult with situs inversus: an easy way to fit the liver / Sergio Iván Hoyos Duque ; Gonzalo Correa Arango ; Juan Carlos Restrepo Gutiérrez ; Hernán Darío Franco Yepes ; Andrés Cárdenas  

Público ISBD Título : Orthotopic liver transplantation in an adult with situs inversus: an easy way to fit the liver Tipo de documento : documento electrónico Autores : Sergio Iván Hoyos Duque, ; Gonzalo Correa Arango, ; Juan Carlos Restrepo Gutiérrez, ; Hernán Darío Franco Yepes, ; Andrés Cárdenas, Fecha de publicación : 2006 Títulos uniformes : Annals of Hepatology Idioma : Inglés (eng) Palabras clave : Liver transplantation  situs inversus  cirrhosis  portal hypertension Resumen : Situs inversus (SI) is a rare congenital disorder with a complete mirror image of thoracic and abdominal organs. In adults with SI and decompensated cirrhosis experience with liver transplantation is limited. Orthotopic liver transplantation (OLT) in an adult with cirrhosis using a technique where the recipient liver was placed using a 90-degree rotation of the graft was previously reported by Klintmalm et al, however no other reports using this technique have been described. We report a case of a 41 year-old man with situs inversus and decompensated cirrhosis who successfully underwent OLT using this technique. The donor liver was rotated 90-degrees towards the left and easily fitted into the recipients’ fossa with the left lobe pointing toward the left lower quadrant. The patient had an uneventful recovery and has been followed for 21 months without any complications. This technique has the advantage of preventing compromise of the size of the donor liver, permits an easy reconstruction of vascular and biliary tree and in this case was associated with an excellent outcome. Mención de responsabilidad : Sergio Hoyos, Carlos Guzmán, Gonzalo Correa, Juan Carlos Restrepo, Hernán Franco, Andrés Cárdenas Referencia : Ann Hepatol. 2006 Jan-Mar;5(1):53-5. DOI (Digital Object Identifier) : 10.1016/S1665-2681(19)32042-3 PMID : 16531968 En línea : https://linkinghub.elsevier.com/retrieve/pii/S1665268119320423 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4415 Orthotopic liver transplantation in an adult with situs inversus: an easy way to fit the liver [documento electrónico] / Sergio Iván Hoyos Duque, ; Gonzalo Correa Arango, ; Juan Carlos Restrepo Gutiérrez, ; Hernán Darío Franco Yepes, ; Andrés Cárdenas,  . - 2006. Obra : Annals of Hepatology Idioma : Inglés (eng) Palabras clave : Liver transplantation  situs inversus  cirrhosis  portal hypertension Resumen : Situs inversus (SI) is a rare congenital disorder with a complete mirror image of thoracic and abdominal organs. In adults with SI and decompensated cirrhosis experience with liver transplantation is limited. Orthotopic liver transplantation (OLT) in an adult with cirrhosis using a technique where the recipient liver was placed using a 90-degree rotation of the graft was previously reported by Klintmalm et al, however no other reports using this technique have been described. We report a case of a 41 year-old man with situs inversus and decompensated cirrhosis who successfully underwent OLT using this technique. The donor liver was rotated 90-degrees towards the left and easily fitted into the recipients’ fossa with the left lobe pointing toward the left lower quadrant. The patient had an uneventful recovery and has been followed for 21 months without any complications. This technique has the advantage of preventing compromise of the size of the donor liver, permits an easy reconstruction of vascular and biliary tree and in this case was associated with an excellent outcome. Mención de responsabilidad : Sergio Hoyos, Carlos Guzmán, Gonzalo Correa, Juan Carlos Restrepo, Hernán Franco, Andrés Cárdenas Referencia : Ann Hepatol. 2006 Jan-Mar;5(1):53-5. DOI (Digital Object Identifier) : 10.1016/S1665-2681(19)32042-3 PMID : 16531968 En línea : https://linkinghub.elsevier.com/retrieve/pii/S1665268119320423 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4415

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An unusual cause of acute abdomen / Andrés Cárdenas  

Público ISBD Título : An unusual cause of acute abdomen Tipo de documento : documento electrónico Autores : Andrés Cárdenas, Fecha de publicación : 2005 Títulos uniformes : American Journal of Medicine Idioma : Inglés (eng) Mención de responsabilidad : Fernando Sierra, Jorge Epalza, Andrés Cárdenas Referencia : Am J Med. 2005 Dec;118(12):1354-6. DOI (Digital Object Identifier) : 10.1016/j.amjmed.2005.08.048 PMID : 16378778 En línea : https://linkinghub.elsevier.com/retrieve/pii/S0002934305007928 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4410 An unusual cause of acute abdomen [documento electrónico] / Andrés Cárdenas,  . - 2005. Obra : American Journal of Medicine Idioma : Inglés (eng) Mención de responsabilidad : Fernando Sierra, Jorge Epalza, Andrés Cárdenas Referencia : Am J Med. 2005 Dec;118(12):1354-6. DOI (Digital Object Identifier) : 10.1016/j.amjmed.2005.08.048 PMID : 16378778 En línea : https://linkinghub.elsevier.com/retrieve/pii/S0002934305007928 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4410

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The predictive value factor VII in acute hepatitis and coagulapathy. Is it really predictive? / Andrés Cárdenas  

Público ISBD Título : The predictive value factor VII in acute hepatitis and coagulapathy. Is it really predictive? Tipo de documento : documento electrónico Autores : Andrés Cárdenas, Fecha de publicación : 2005 Títulos uniformes : Journal of Hepatology Idioma : Inglés (eng) Mención de responsabilidad : Fernando Sierra, Andrés Cárdenas Referencia : J Hepatol. 2005 Jun;42(6):942-3. DOI (Digital Object Identifier) : 10.1016/j.jhep.2005.02.014 PMID : 15885368 En línea : https://linkinghub.elsevier.com/retrieve/pii/S0168827805001972 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4408 The predictive value factor VII in acute hepatitis and coagulapathy. Is it really predictive? [documento electrónico] / Andrés Cárdenas,  . - 2005. Obra : Journal of Hepatology Idioma : Inglés (eng) Mención de responsabilidad : Fernando Sierra, Andrés Cárdenas Referencia : J Hepatol. 2005 Jun;42(6):942-3. DOI (Digital Object Identifier) : 10.1016/j.jhep.2005.02.014 PMID : 15885368 En línea : https://linkinghub.elsevier.com/retrieve/pii/S0168827805001972 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4408

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