德国慕尼黑大学 诺丽果引肝脏疾病报道.pdfVIP

Case Report Digestion 2006;73:167–170 Published online: July 11, 2006 DOI: 10.1159/000094524 Hepatitis Induced by Noni Juice from Morinda citrifolia : A Rare Cause of Hepatotoxicity or the Tip of the Iceberg? B. Yüce a V. Gülberg a J. Diebold b A.L. Gerbes a a Department of Internal Medicine II and b Institute of Pathology, Ludwig Maximilians University of Munich, Munich , Germany Key Words that for ‘general immune system stimulation’ she had been Herbal toxicity Acute hepatitis Complementary drinking Noni juice, a Polynesian herbal remedy made from medicine Dietary supplement a tropical fruit (Morinda citrifolia), during the past 4 weeks. After cessation of the Noni juice ingestion, her transaminase levels normalized quickly and were in the normal range Abstract within 1 month. Copyright © 2006 S. Karger AG, Basel A 24-year-old female patient presented to her community hospital with mild elevations of serum transaminase and bil- irubin levels. Because of multiple sclerosis, she was treated with interferon beta-1a for 6 weeks. After exclusion of viral Introduction hepatitis due to hepatitis A–E, interferon beta-1a was with- drawn under the suspicion of drug-induced hepatitis. One The use of complementary and alternative medicine, week later, she was admitted again to her community hospi-