Aloe vera: Not always so beneficial in patients with chronic liver disease.

نویسندگان

  • Paola Vázquez-Fernández
  • Ana Garayoa-Roca
  • Ramón Añón-Rodríguez
  • María Cabezas-Macián
  • Miguel Ángel Serra-Desfilis
  • Francisco Mora-Miguel
چکیده

A 49-year-old man in follow-up due to chronic liver disease caused by the hepatitis C virus (HCV). The patient had rejected antiviral treatment and was in a state of compensated cirrhosis. He was admitted to our service due to jaundice and right hypochondrium pain lasting three days. The patient did not mention dietary or alcoholic transgression or the ingestion of drugs except drinkable Aloe vera with 99.7 % purity. He been taking 150 mL daily for 10 days (it had been recommended for its liver-protective effect). Physical examination: jaundice, no ascites in the abdomen, pain in right hypochondrium. The analysis showed AST 125 U/L (normal < 37 U/L), ALT (alanine aminotranferase) 93 U/L (normal < 41 U/L), ALP (alkaline phosphatise) 421 U/L (normal < 300 U/L), total bilirubin 21 mg/dL (direct bilirubin 19.3 mg/dL). Normal coagulation. Ceruloplasmin, alpha-1 antitrypsin, cryoglobulins and alpha-fetoproteins normal, auto-antibodies negative, Ig M anti HAV (hepatitis A virus), HBs Ag (hepatitis B surface antigen) negative, RNA HCV quantification 4,958 IU/mL. The abdominal ultrasound and MR cholangiogram showed findings associated with chronic liver disease with intra-, extrahepatic bile duct and pancreatic conduit with no alterations. A liver biopsy was performed (Fig. 1): “Compatible with chronic hepatitis due to HCV and signs of cholestasis”.

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عنوان ژورنال:
  • Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

دوره 105 7  شماره 

صفحات  -

تاریخ انتشار 2013