Table 1.
Current case studies: clinical features and medications.
| Clinical features | Case 1 | Case 2 |
|---|---|---|
| Age (years) | 42 | 53 |
| Gender | Female | Female |
| Signs | Mild icterus | Increased LFTs |
| Symptoms | Progressive malaise, nausea | RUQ** abdominal pain, fatigue |
| Vomiting, dizziness | Lower extremity edema | |
| Stigmata of CLD | Absent | Absent |
|
| ||
| Medications | Black cohosh | OTC with soy and black cohosh |
|
| ||
| Indication | Menopausal symptoms | Menopausal symptoms |
| Dose | Not specified | Not specified |
| Duration | 6 months | 8 months |
|
| ||
| Other medications | Levothyroxine | Dicyclomine; NSAID |
|
| ||
| Indication | Hyperthyroidism | GI cramps; pain |
| Dose | 0.05 mg daily | Not specified |
| Duration | Chronic | As needed |
LFTs: Liver function tests.
RUQ: Right upper quadrant.
CLD: Chronic liver disease.
OTC: Over the counter drug.
NSAID: Nonsteroidal anti-inflammatory drug.