Greater Celandine hepatotoxicity: a clinical review



Document title: Greater Celandine hepatotoxicity: a clinical review
Journal: Annals of hepatology
Database: PERIÓDICA
System number: 000417627
ISSN: 1665-2681
Authors: 1
2
1
1
1
Institutions: 1Goethe University, Medical Faculty, Frankfurt am Main. Alemania
2University Medical Center Hamburg-Eppendorf, Hamburgo. Alemania
Year:
Season: Nov-Dic
Volumen: 11
Number: 6
Pages: 838-848
Country: México
Language: Inglés
Document type: Revisión bibliográfica
Approach: Analítico
English abstract Herbal hepatotoxicity is a rare and poorly described disease because reported cases are mostly scattered and lack an appropriate causality assessment. We now describe in detail the clinical picture of herbal hepatotoxicity by extracts of Greater Celandine (GC), syn. Chelidonium majus L. from the Papaveraceae family, which contain more than 20 ingredients including various biologically active isoquinoline alkaloids. For this purpose, we analyzed and reviewed published cases of 16 patients from various European countries. In all patients, herbal hepatotoxicity was of probable and highly probable causality for GC, using the original and updated scale of CIOMS (Council for International Organizations of Medical Sciences). GC associated hepatotoxicity usually has an acute clinical course exhibiting a hepatocellular pattern of injury and is correlated to an idiosyncratic reaction with its metabolic subtype. Jaundice combined with high values of serum aminotransferases was present in virtually all cases with favourable outcome despite severe clinical course. In conclusion, GC hepatotoxicity is a typical herbal hepatotoxicity with a sound causality track for GC, but there is uncertainty regarding the respective causative compound(s). The present detailed review of GC hepatotoxicity may serve as an example for clinical causality assessments of future cases of liver injury due to other herbs
Disciplines: Medicina
Keyword: Gastroenterología,
Plantas medicinales,
Celidonia mayor,
Chelidonium majus,
Hepatotoxicidad,
Características clínicas,
Manifestaciones clínicas
Keyword: Gastroenterology,
Medicinal plants,
Greater celandine,
Chelidonium majus,
Hepatotoxicity,
Clinical characteristics,
Clinical manifestations
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