Epidemic dropsy 2013: case series.

Epidemic dropsy (ED) is caused due to intoxication with Argemone mexicana. Here we report a case series of three families, all of whom were residents of Uttar Pradesh, India, who presented in August 2013 with all the classical features of ED. We aim to highlight the importance of this malady even though the sale of unbottled mustard oil is illegal in India.

Riesgos de la herbolaria: reporte de un caso de hepatitis por cardo santo (Argemone mexicana L) / Risks of herbalism: a case report of Mexican poppy (Argemone mexicana L) induced liver toxicity

El consumo cada vez mayor de productos de la medicina alternativa y complementaria ha permitido reconocer con más frecuencia los efectos deletéreos asociados y las interacciones que estos productos pueden ocasionar. Así en la literatura médica encontramos casos reportados de toxicidad hepática con Aloe (sábila), Camellia sinensis (té verde), Rhammus purshianus (cáscara sangrada), Aesculus hippocastanum (castaño de indias) y Valeriana officinalis (valeriana), entre otros. El presente caso trata sobre una paciente femenina que consumió en dos ocasiones cardo santo (Argemone mexicana L), con intervalo de un año entre un evento y otro. En ambas oportunidades desarrolló un cuadro de diarrea, ictericia y ataque al estado general con alteración en las pruebas de función hepática. Se excluyeron otras causas de hepatopatía. Se utilizaron escalas para evaluar efectos adversos en el hígado relacionados con medicamentos. Se recabó la información del expediente clínico de la paciente y se revisó la bibliografía relacionada con el tema. Se concluyó que existe la posibilidad de lesión hepática relacionada con el consumo de Argemone mexicana L, al menos en esta paciente.

The increasing consumption of alternative medicines has lead to a greater awareness about the deleterious effects and interactions that these products can induce. Consequently, medical literature reports liver toxicity from Aloe, Camellia sinensis (green tea), Rhammus purshianus, Aesculus hippocastanum (buckeye) and Valeriana officinalis (valerian), among others. This article reports a female patient who twice consumed Mexican poppy (Argemone mexicana L) with a one-year interval between ingestions. Both times she developed diarrhea, jaundice and general malaise with impaired liver function tests. Other causes of liver disease were ruled out. Questionnaires were used to assess the possibility of drug-induced liver damage. Clinical information was collected from the patient’s medical record and the literature on the subject was reviewed. We conclude that, at least in this case, the most likely cause of liver toxicity was Argemone mexicana L consumption.

Reproductive and developmental toxicity evaluation of desoris (LLL 3348) in Wistar rats.

Desoris (LLL 3348), a lyophilized aqueous extract prepared from the leaves of Argemone mexicana to treat chronic stable plaque-type psoriasis, was evaluated for reproductive (male and female fertility) and developmental toxicity in rats. Lrrp: Wistar rats were administered orally with LLL 3348 at dose levels of 0 (distilled water), 250, 500, and 1000 mg/kg b.wt, and the effects on reproductive parameters were assessed. Sperm parameters (motility, epididymal sperm concentration, testicular sperm head count, and sperm morphology), organ weight, and histology of the male reproductive system were evaluated in the male fertility study. Estrus cyclicity, corpora lutea, implantation sites, litter size at birth, fetal growth, development parameters up to weaning, and organ weight and histology of male and female reproductive systems were assessed in the female fertility study. There were no overt signs of toxicity noted in male and female reproduction parameters in rats up to 1000 mg/kg of LLL 3348 administration. There were no alterations in the male reproductive organ/system, sperm parameters, male and female fertility indices, embryonic development, and pre-wean developmental landmarks of pups. No gross and histological changes were observed in these studies. In a develop mental toxicity study, the test article was administered to pregnant females during gestation (5-19 days) and the fetuses were examined for external, visceral, and skeletal abnormalities. No toxic manifestation was revealed on caesarian section parameters, and no fetus anomalies/abnormalities were found. Therefore, it is concluded that LLL 3348 at the given dose did not produce any significant toxic effect in rats. The No Observed Adverse Effect Level (NOAEL) for male fertility, female fertility, and developmental toxicity studies was established as 1000 mg/kg in rats.