Acute adrenal failure: A potentially fatal consequence of an adulterated herbal remedy
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Issue Date
2019-02-19
Metadata
Show full item recordAbstract
© 2019 BMJ Publishing Group Limited. Herbal remedies adulterated with glucocorticoids can cause Cushing's syndrome. We report a severe presentation of a 'herbal remedy' adulterated with glucocorticoids; causing a potentially fatal adrenal crisis precipitated by acute illness. Investigations were consistent with adrenal suppression and confirmed, after tablet analysis, to be due to a 'herbal remedy' containing synthetic betamethasone/dexamethasone. This case highlights the need for clinical vigilance and patient education about the potential risks associated with the use of unlicensed treatments and the role of tablet analysis in routine biochemistry.Citation
Sensi H, Buch H, Ford L, et al (2019) Acute adrenal failure: a potentially fatal consequence of an adulterated herbal remedyBMJ Case Reports CP 2019;12:bcr-2018-228443.Publisher
BMJJournal
BMJ Case ReportsPubMed ID
30787026 (pubmed)Additional Links
https://casereports.bmj.com/content/12/2/bcr-2018-228443Type
Journal articleLanguage
enDescription
This is an accepted manuscript of an article published by BMJ in BMJ Case Reports on 19/02/2019, available online: http://dx.doi.org/10.1136/bcr-2018-228443 The accepted version of the publication may differ from the final published version.ISSN
1757-790XEISSN
1757-790Xae974a485f413a2113503eed53cd6c53
10.1136/bcr-2018-228443
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Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by-nc-nd/4.0/