약인성 간손상과 동반된 납 중독 1예

• Published in: The Korean journal of gastroenterology pp. 375 - 378
• Main Authors: 전기정, 박종하, 김민성, 유종원, 박재현, 김민식
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 01.06.2015
• Subjects: 내과학
• ISSN: 1598-9992; 2233-6869

A 61-year-old male patient was admitted because of unexplained abdominal pain and anemia. His past medical history was unremarkable except for having taken herbal medicine to treat facial palsy two months ago. The result of health examination performed about a month ago showed increased serum aspartate and alanine aminotransferase level, and he was diagnosed with toxic hepatitis by herbal medicine. When the patient presented to the outpatient department three weeks ago, follow-up liver function test results showed improvement but he complained of abdominal pain. Despite extensive blood chemistry tests and computed tomography, the cause of pain could not be found. After much deliberation, serum lead level and herbal medicines analysis was performed based on the fact that he took herbal medicine two months ago, and he could finally be diagnosed with lead poisoning. Since the serum lead level was high enough to be indicated for lead chelating therapy, conservative management was given. When a patient with toxic hepatitis due to herbal medication presents with abdominal pain, the possibility of lead poisoning should always be taken into consideration. KCI Citation Count: 1