Cited by 100

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Liver injuries induced by herbal medicine, Syo-saiko-to (xiao-chai-hu-tang)

Itoh, Susumu, Marutani, Kazuhiro, Nishijima, Tatsushige, Matsuo, Shuichi, Itabashi, Motoya·1995·Digestive Diseases and Sciences

Abstract

Four patients treated with the herbal medicine syo-saiko-to (xiao-chai-hu-tang) exhibited acute drug-induced liver injury. The latent period was one and a half to three months. All of the patients showed a rise in aminotransferases after readministration or challenge test. The liver histology revealed centrilobular confluent necrosis or spotty necrosis, microvesicular fatty change, acidophilic degeneration, and a granuloma. Cholestasis was seen in two patients. The results of the [13C]aminopyrine breath test, performed in one patient, were low before the challenge test and even lower after the challenge. These findings suggest that the herbal medicine syo-saiko-to may induce acute injury or the hepatocellular pattern with variable cholestasis.

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Crossref · 10.1007/bf02212712

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  • Laboratory studies have shown that natural medicines such as Heshouwu, Leigongteng, or Xiao-Chai-Hu-Tang cause immune activation, metabolic disorders, apoptosis and damage to liver cells.

    “although laboratory studies have also shown that these treatments cause immune activation, metabolic disorders, apoptosis and damage to liver cells.[35][36][37][38][39]”

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Research works printed but not linked: 20

  1. Stillman AE, Huxtable R, Consroe P, Kohnen P, Smith S: Hepatic veno-occlusive disease due to pyrrolizidine (senecio) poisoning in Arizona. Gastroenterology 73:349–352, 1977 · DOI
  2. Hyde FF: Mistletoe hepatitis. Br Med J 282:739, 1981 · DOI
  3. Rottman JN: Comfrey and liver damage. Lancet 1:944, 1981 · DOI
  4. Anderson C: Comfrey in perspective. Lancet 1:1424, 1981 · DOI
  5. Kumana CR, Ng M, Lin HJ, Ko W, Wu P-C, Todd D: Hepatic veno-occlusive disease due to toxic alkaloid in herbal tea. Lancet 1:1360–1361, 1983 · DOI
  6. Mizoguchi Y, Yoshiyasu K, Tsutsui H, Myyajima K, Sakagami Y, Tojo T, Seki M, Yamamoto Y, Morisawa S: A case of drug-induced allergic hepatitis by herbal medicine. Acta Hepatol Jpn 27:238–241, 1986 · DOI
  7. Satake I, Maeda M, Koyama W, Sakamoto S, Koizumi S, Kanayama M: A case of hepatic injury caused by an herb drug. Acta Hepatol Jpn 27:238–241, 1986 · DOI
  8. Harvey J, Colin-Jones DG: Mistletoe hepatitis. Br Med J 282:186–187, 1981 · DOI
  9. MacGregor FB, Abernethy VE, Dahabra S, Cobden I, Hayes PC: Hepatotoxicity of herbal remedies. Br Med J 199:1156–1157, 1989 · DOI
  10. Weeks GR, Proper JS: Herbal medicines—gaps in our knowledge. Aust J Hosp Pharmacol 19:155–157, 1989
  11. Carlsson C: Herbs and hepatitis. Lancet 2:1065, 1990
  12. Larrey D, Vial T, Pauwels A, Castot A, Biour M, David M, Michel H: Hepatitis after germander (Teucrium chamaedrys) administration: Another instance of herbal medicine hepatotoxicity. Ann Intern Med 117:129–132, 1992 · DOI
  13. Marutani K, Nishijima T, Nishiyama J, Nemoto H, Matsuo S, Matsuyama Y, Itoh S: Changes in liver test results after stopping syo-saiko-to. Acta Hepatol Jpn 31(suppl):119, 1990
  14. Marutani K, Matsuo S, Nishijima T, Watanobe T, Ishida Y, Sasaki K, Kameda C, Itoh S: Light and electron microscopic findings in the liver of five patients with syo-saiko-to-induced hepatitis. Jpn J Gastroenterol 87:640, 1990
  15. Itabashi M: Clinical utility of13C-aminopyrine breath test in patients with chronic liver diseases. J Saitama Med School 18:261–268, 1991
  16. Hepner GW, Vesell ES: Quantitative assessment of hepatic function by breath analysis after oral administration of [14C]aminopyrine. Ann Intern Med 83:632–638, 1975 · DOI
  17. Stricker BHCH, Block APR, Desmet VJ: Pathology of Drug-Induced Hepatic Injury, 2nd ed. Amsterdam, Elsevier, 1992, pp 51–70
  18. Loeper J, Deseatoire V, Letteron P, Moulis C, Degott C, Dansette P, Fau D, Pessayre D: Hepatotoxicity of germander in mice. Gastroenterology 106:464–472, 1994 · DOI
  19. Keys JD: Chinese Herbs. Their Botany, Chemistry, and Pharmacodynamics. Rutland, Vermont, Charles E. Tuttle, 1976
  20. De Smet PAGM:Scutellaria species.In Adverse Effects of Herbal Drugs, Vol 2. PAGM De Smet, K Keller, R Hänsel (eds). Berlin, Springer-Verlag, 1993, pp 289–296 · DOI

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Metadata

Authors
Itoh, S., Marutani, K., Nishijima, T., Matsuo, S., & Itabashi, M.
Venue
Digestive Diseases and Sciences
Published
1995-08
Volume
40
Issue
8
Pages
1845-1848
ISSN
  • 0163-2116
  • 1573-2568
Cited by
100
References
0
Language
en

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