If you are seeing this message, you may be experiencing temporary network problems. Please wait a few minutes and refresh the page. If the problem persists, you may wish to report it to your local Network Manager.

It is also possible that your web browser is not configured or not able to display style sheets. In this case, although the visual presentation will be degraded, the site should continue to be functional. We recommend using the latest version of Microsoft or Mozilla web browser to help minimise these problems.

Wiley InterScience

The American Journal of Gastroenterology

The American Journal of Gastroenterology

Volume 99 Issue 5, Pages 950 - 952

Published Online: 21 Apr 2004

© 2008 American College of Gastroenterology/Blackwell Publishing



Save Article to My Profile      Download Citation      Request Permissions

Abstract |  References  |  Full Text: HTML, PDF (Size: 50K)  | Related Articles | Citation Tracking

Fulminant Liver Failure Due to Usnic Acid for Weight Loss
Francisco A. Durazo, M.D., Charles Lassman, M.D., Ph.D., Steven H.B. Han, M.D., Sammy Saab, M.D., M.P.H., Nancy P. Lee, Pharm. D., Marvin Kawano, Pharm. D., Bob Saggi, M.D., Sherilyn Gordon, M.D., Douglas G. Farmer, M.D., Hasan Yersiz, M.D., R. Leonard I. Goldstein, M.D., Mark Ghobrial, M.D., Ph.D., and Ronald W. Busuttil, M.D., Ph.D.
 Division of Digestive Diseases, Department of Medicine; Dumont-UCLA Liver Transplant Center, Department of Surgery; Department of Pathology; and Department of Pharmaceutical Services, University of California, Los Angeles, California
  Reprint requests and correspondence: Francisco A. Durazo, M.D., Digestive and Liver Diseases, Dumont-UCLA Liver Transplant Center, 200 Medical Plaza, Suite 214, Los Angeles, CA 90095-7302.
Copyright 2004 by the Am. Coll. of Gastroenterology

ABSTRACT

The use of complementary and alternative medicine (CAM) in developed countries has increased significantly over the years. Among the most popular are the weight loss supplements or "fat burners." Liver failure due to these popular remedies has been widely recognized. Usnic acid has been an ingredient of dietary supplements that cause liver failure. Its hepatotoxicity has not been recognized because it is usually mixed with other ingredients that are presumably hepatotoxic. We describe a case of a 28-yr-old woman who presented with fulminant liver failure requiring orthotopic liver transplantation, after taking pure usnic acid for weight loss. This is the first report on fulminant liver failure associated with the ingestion of pure usnic acid. A discussion about hepatotoxicity of the different compounds of dietary supplements is presented. This is a reminder for the clinicians about the potential side effects of CAM.


Received October 29, 2003; accepted December 8, 2003.

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1572-0241.2004.04165.x About DOI

Related Articles

  • Find other articles like this in Wiley InterScience
  • Find articles in Wiley InterScience written by any of the authors

Wiley InterScience is a member of CrossRef.

Cross Ref Member