Case Report
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Nov 8, 2017; 9(31): 1205-1209
Published online Nov 8, 2017. doi: 10.4254/wjh.v9.i31.1205
Ayurvedic drug induced liver injury
Kunal K Dalal, Thomas Holdbrook, Steven R Peikin
Kunal K Dalal, Department of Medicine, Cooper Medical School of Rowan University, Cooper University Hospital, Camden, NJ 08103, United States
Thomas Holdbrook, Department of Pathology, Cooper Medical School of Rowan University, Cooper University Hospital, Camden, NJ 08103, United States
Steven R Peikin, Division of Gastroenterology and Liver Disease, Cooper Medical School of Rowan University, Cooper University Hospital, Camden, NJ 08103, United States
Author contributions: All authors took care of the patient medically; Dalal KK analyzed and drafted the report; Holdbrook T and Peikin SR made critical appraisals of the report.
Institutional review board statement: Cooper Health System Institutional Review Board does not require IRB review for Case Reports less than 5 patients.
Informed consent statement: Informed consent was acquired from the patient.
Conflict-of-interest statement: None of the authors have any financial disclosures or conflicts of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Kunal K Dalal, MD, Department of Medicine, Cooper Medical School of Rowan University, Cooper University Hospital, 1 Cooper Plaza, Camden, NJ 08103, United States. kunald89@gmail.com
Telephone: +1-856-3422000 Fax: +1-844-5116895
Received: May 3, 2017
Peer-review started: May 4, 2017
First decision: June 15, 2017
Revised: June 28, 2017
Accepted: August 3, 2017
Article in press: August 3, 2017
Published online: November 8, 2017
Core Tip

Core tip: Drug induced liver injury is difficult to diagnose. Certain ayurvedic medications are commonly used without full knowledge of their side effects. This article not only represents the first documented case report of drug induced liver injury secondary to Punarnava mandur and Kanchnar guggulu, but it also demonstrates the possible role for advanced imaging modalities.