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S Sterculia Drug-induced liver injury: case report A 46-year-old woman developed drug induced liver injury during treatment with sterculia for obstipation. The woman was admitted on 31 May 2019, with fatigue, abdominal distension, nausea and loss of appetite followed by jaundice after drinking a herbal tea to treat her obstipation for nearly 30 days. In 2014, she was diagnosed with hypothyroidism. She was receiving levothyroxine-sodium tablets 125 μg/day [levothyroxine]. During the admission, she also reported skin itching. Physical examination revealed severe jaundice, without rash, fever or any signs of chronic liver disease. She was tested negative for virus infectious aetiology. Abdominal ultrasound and MRI revealed mild fatty liver, slightly enlarged spleen and liver, with multiple cysts within liver. Magnetic resonance cholangiopancreatography did not reveal calculi or obstruction dilation in the biliary tract system. Further laboratory findings suggested the possibility of drug-induced liver injury. She was also diagnosed with levothyroxine-sodium related hyperthyroidism.The woman received ursodeoxycholic acid capsules, polyenylphosphatidylcholine [polyene phosphatidylcholin

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Publisher

Springer Science and Business Media LLC

Published

2023

Language

EN

Field

Medicine (Health Sciences)