Cholestatic hepatitis after ingestion of chaparral leaf: confirmation by endoscopic retrograde cholangiopancreatography and liver biopsy.

@article{Alderman1994CholestaticHA,
  title={Cholestatic hepatitis after ingestion of chaparral leaf: confirmation by endoscopic retrograde cholangiopancreatography and liver biopsy.},
  author={Sandra Alderman and Sir Kailas and Stanley Goldfarb and Chandar Singaram and Daniel G Malone},
  journal={Journal of clinical gastroenterology},
  year={1994},
  volume={19 3},
  pages={242-7}
}
The use of herbal and other "natural" health products by healthy and ill people is more common than is appreciated by many health care providers. Since most of these substances are not categorized as medicines, they are exempt from U.S. Government approval processes, and are essentially uncontrolled. In this article we describe a patient who developed painless jaundice, fatigue, and pruritus after taking chaparral tablets, 160 mg/day, for approximately 2 months. Serial liver biopsies and serum… CONTINUE READING