机构:[1]Department of Immunology and Rheumatology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China临床科室免疫风湿科河北医科大学第四医院[2]College of Integrated Chinese and Western Medicine, Hebei Medical University, Shijiazhuang, China[3]Department of Gynaecology Ultrasound, The Fourth Hospital of Hebei Medical University, China医技科室妇产超声科河北医科大学第四医院
Introduction: Chinese herbal medicine (CHM) has been widely used by patients in China and results in unpredictable nephrotoxicity and hepatotoxicity effects. Case Presentation: We report the case of a postoperative 69-year-old female patient with ascending colon cancer who rapidlydeveloped liver cirrhosis after 18 months of continued CHM administration. The patient underwent right hemicolectomy at the Fourth Hospital of Hebei Medical University in August 2019 due to ascending colon cancer; at that time, the patient had no signs of liver cirrhosis based on computed tomography (CT) and routine blood examination. Postoperatively, the patient continued CHM administration for 18 months. The patient then visited our hospital with complaints of jaundice, abdominal distension, and edema in both lower limbs. CT imaging showed cirrhosis of the liver, while gastroscopy showed mild esophageal varices. Blood examinations including routine blood, coagulation function, and liver function tests, and biomarkers of hepatic fibrosis also supported the diagnosis of liver cirrhosis. To the best of our knowledge, this is the first report of CHM-induced liver cirrhosis. Conclusions: CHM administration possibly induces rapid liver cirrhosis within 18 months.
基金:
Natural Science Foundation of Hebei ProvinceNatural Science Foundation of Hebei Province
第一作者机构:[1]Department of Immunology and Rheumatology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China
通讯作者:
通讯机构:[1]Department of Immunology and Rheumatology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China[3]Department of Gynaecology Ultrasound, The Fourth Hospital of Hebei Medical University, China[*1]Department of Gynaecology Ultrasound, The Fourth Hospital of Hebei Medical University, China[*2]Department of Immunology and Rheumatology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
推荐引用方式(GB/T 7714):
Cao Ruijie,Zhang Shasha,Li Jing,et al.Chinese Herbal Medicine-Induced Rapid Liver Cirrhosis: A Case Report[J].HEPATITIS MONTHLY.2021,21(8):doi:10.5812/hepatmon.118934.
APA:
Cao, Ruijie,Zhang, Shasha,Li, Jing,Zhang, Jingjing,Zhao, Yufei...&Guo, Zhanjun.(2021).Chinese Herbal Medicine-Induced Rapid Liver Cirrhosis: A Case Report.HEPATITIS MONTHLY,21,(8)
MLA:
Cao, Ruijie,et al."Chinese Herbal Medicine-Induced Rapid Liver Cirrhosis: A Case Report".HEPATITIS MONTHLY 21..8(2021)