Herbal remedies as a potential cause of hypoadrenalism.
Br J Hosp Med (Lond)
; 85(6): 1-4, 2024 Jun 30.
Article
in En
| MEDLINE
| ID: mdl-38941978
ABSTRACT
A 37-year-old woman presented with nausea, vomiting and headache. She was found to be profoundly hyponatraemic with a sodium of 121 mmol/L, which deteriorated following a fluid challenge. An initial hyponatraemia screen identified adrenal insufficiency, with cortisol of 48 nmol/L. History confirmed she had been taking the herbal plant, ashwagandha. After 3 days of fluid restriction and steroid replacement, her sodium returned to normal (139 mmol/L). This article reviews the possible harmful effects of over-the-counter herbal remedies and highlights the importance of considering a wide differential diagnosis in patients presenting with non-specific symptoms.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Adrenal Insufficiency
/
Hyponatremia
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
Br J Hosp Med (Lond)
Journal subject:
HOSPITAIS
/
MEDICINA
Year:
2024
Document type:
Article
Affiliation country: