Acute adrenal failure: a potentially fatal consequence of an adulterated herbal remedy.

BMJ Case Reports
Harminder SensiRousseau Gama

Abstract

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.

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Citations

Sep 4, 2020·Seminars in Respiratory and Critical Care Medicine·Gennaro MartucciKarin Amrein

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