Korean J Nephrol.  2010 Jan;29(1):136-139.

A Case of Acute Toxic Hepatitis and Acute Kidney Injury after Ingestion of Ulmus davidiana var. japonica Extracts

Affiliations
  • 1Department of Internal Medicine, Gachon University of Medicine and Science, Incheon, Korea. b4usleep@hanmail.net
  • 2Department of Laboratory of Molecular Nephrology, Gachon University of Medicine and Science, Incheon, Korea.

Abstract

Despite the splendid development of medicine, traditional alternative remedies have been widely used in Korea for a long time. Especially, the extract of elm bark is typical, common and easily obtained in a daily life. A scientific name of elm is Ulmus davidiana var. japonica. Although the study of pharmacologic effect and side effect is underway, the results are not yet enough to be applied in practice. Nevertheless, many people have the extracts of elm bark on expecting the improvement of health. We experienced a case of acute toxic hepatitis and acute kidney injury after complementary medication. She was a 48-year-old female patient who ingested 3-4 cups of extracts per day for 10 days to improve her health until admitted due to nausea, vomiting, and fatigue. The case report can suggest that ingestion of complementary medicine (elm bark root extracts) can be a cause of acute toxic hepatitis and acute kidney injury.

Keyword

Toxic hepatitis; Acute kidney failure; Complementary medicine

MeSH Terms

Acute Kidney Injury
Complementary Therapies
Drug-Induced Liver Injury
Eating
Fatigue
Female
Humans
Kidney
Korea
Medicine, Traditional
Middle Aged
Nausea
Ulmus
Vomiting
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