Two cases of food additive-induced severe liver damage associated with positive results on lymphocyte stimulation test and for antinuclear antibodies View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-06-04

AUTHORS

Rena Kaneko, Chitose Ohishi, Miniru Kim, Masaaki Shiina, Satoshi Kusayanagi, Masazumi Ogawa, Kazuo Munakata, Kyoichi Mizuno, Yuzuru Sato

ABSTRACT

Two cases of severe liver injury and positive result for antinuclear antibodies induced by food additives are reported. The first patient reported long-term intake of Mabo Ramen® noodle soup, nutritional supplements, and over-the-counter drugs. Total bilirubin, aspartate aminotransferase, and alanine aminotransferase were 9.6 mg/dL, 1,048, and 1,574 IU/L, respectively. Antinuclear antibody was 80×. The drug-induced lymphocyte stimulation test (DLST) was positive for Mabo Ramen® and its additives such as Xanthan gum, guar gum, and Doubanjiang. Histologic examination of a liver biopsy specimen showed lymphocyte infiltration and necrosis. The autoimmune hepatitis score was 3. The second patient reported intake of dietary supplements, including Bimore C® and Chokora BB®. Laboratory tests revealed that total bilirubin was 9.8 mg/dL, aspartate aminotransferase was 1,130 IU/L, and alanine aminotransferase was 1,094 IU/L. Antinuclear antibody was 320×. Co-existing pancreatic damage was confirmed by the findings on abdominal CT and elevation of serum lipase, span-1, and DUPAN-2. DLSTs were positive for both supplements. These two supplements contained additives such as titanium oxide, magnesium stearate, and hydroxypropylcellulose. DLSTs for all three additives were positive. Histologic examination revealed periportal necrosis and lymphocyte infiltration of lobular and portal areas. These two cases demonstrate that repeating DLSTs is useful for identifying causative constituents in foods and supplements. More... »

PAGES

268-274

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12328-012-0312-7

DOI

http://dx.doi.org/10.1007/s12328-012-0312-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1014257244

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26182392


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