TY - JOUR PY - 2013// TI - Drug-induced liver injury associated with noni (Morinda citrifolia) juice and phenobarbital JO - Case reports in gastroenterology A1 - Mrzljak, Anna A1 - Kosuta, Iva A1 - Skrtic, Anita A1 - Kanizaj, Tajana Filipec A1 - Vrhovac, Radovan SP - 19 EP - 24 VL - 7 IS - 1 N2 - Noni juice is a popular herbal dietary supplement globally used for preventive or therapeutic purposes in a variety of ailments, claiming to exhibit hepatoprotective properties as well. Herein we present the case of a 38-year-old woman who developed acute liver injury associated with noni juice consumption on a long-term (9 months) anticonvulsant therapy. Clinical presentation and liver biopsy were consistent with severe, predominantly hepatocellular type of injury. Both agents were stopped and corticosteroids were initiated. Five months later the patient had fully recovered. Although in the literature the hepatotoxicity of noni juice remains speculative, sporadic but emerging cases of noni juice-associated liver injury address the need to clarify and investigate potential harmful effects associated with this supplement.
Language: en
LA - en SN - 1662-0631 UR - http://dx.doi.org/10.1159/000343651 ID - ref1 ER -