Uncommon cause for a common disease-Severe steatohepatitis secondary to Ayurvedic ‘Man-Lion Tonic’

Submitted by sysadmin1 on Wed, 02/22/2017 - 13:02
Oncology, Gastroenterology and Hepatology Reports,2017,6,2,51-55.
Published:February 2017
Type:Case Report

Uncommon cause for a common disease-Severe steatohepatitis secondary to Ayurvedic ‘Man-Lion Tonic’

Cyriac Abby Philips1, Praveen Kumar2, Philip Augustine3, Pushpa Mahadevan4

1Department of Hepatology and Transplant Medicine, PVS Institute of Digestive Diseases, PVS Memorial Hospital, Cochin, Kerala, INDIA.

2Deparment of Gastroenterology, Government Medical College, Thrissur, Kerala, INDIA.

3Department of Gastroenterology, PVS Institute of Digestive Diseases, PVS Memorial Hospital, Cochin, Kerala, INDIA.

4Deparment of Pathology, VPS Lakeshore Hospital, Cochin, Kerala, INDIA.

Abstract:

Narasimha Rasayana (Sanskrit for ‘Man-Lion Tonic’) is a frequently prescribed Ayurvedic herbal medicinal preparation in South India for treatment of fatigue, hair loss, rejuvenation and weight gain in young men and women. The preparation is also considered, as per Vedic medical literature known as Ashtanga Hridayam Uttara to improve fertility by acting as an aphrodisiac. We present the interesting case of a young male, who consumed 2 tablespoons (~15 grams) of the ‘Man-Lion Tonic’ daily for 2 years, presenting with loss of appetite and well-being and elevated transaminases with liver histology showing overlapping features unique to spectrum of acute alcohol liver injury not described with CAM before.

Liver histopathology revealing features suggestive of severe mixed macro and micro-vescicular-steatosis