2258 Cascara Sagrada: A Dangerous Herbal Stool Softener: A Case Report and Literature Review
Flores E, Mbachi C, Randhawa T, Vohra I, Agrawal R, Mba B. 2258 Cascara Sagrada: A Dangerous Herbal Stool Softener: A Case Report and Literature Review. The American Journal Of Gastroenterology 2019, 114: s1262-s1264. DOI: 10.14309/01.ajg.0000598564.97179.71.Peer-Reviewed Original ResearchLiver injuryTotal bilirubinCascara sagradaHerbal supplementsDrug-induced liver injuryClay-colored stoolsDark-colored urineMild transaminase elevationsBile duct injuryLiver function testsChronic inflammatory infiltrateShort-term treatmentAnabolic steroid useSerum enzyme elevationsAutoimmune panelDuct injuryPortal hypertensionTransaminase elevationStool softenersClose followEnzyme elevationInitial presentationLiver biopsyLiver ultrasoundBiliary dilatationAtypical presentation of necrotising autoimmune myopathy
Ajiboye O, Manesh M, Asmi N, Mba B. Atypical presentation of necrotising autoimmune myopathy. BMJ Case Reports 2019, 12: e229119. PMID: 31142488, PMCID: PMC6557363, DOI: 10.1136/bcr-2018-229119.Peer-Reviewed Original ResearchConceptsProximal muscle weaknessAutoimmune myopathyStatin useAtypical presentationMuscle weaknessSymmetrical proximal muscle weaknessElevated creatine kinase levelsNecrotising autoimmune myopathySevere oropharyngeal dysphagiaCreatine kinase levelsCase of statinsSevere quadriparesisInitial presentationOropharyngeal dysphagiaHistological findingsMyocyte necrosisRemote historyRapid progressionAutoimmune antibodiesIrritable myopathyKinase levelsHigh indexRare diseaseRemarkable inflammationPresentation patterns