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. Author manuscript; available in PMC: 2014 Jan 14.
Published in final edited form as: J Allergy Clin Immunol. 2009 Feb;123(2):309–316. doi: 10.1016/j.jaci.2009.01.001

Table 1. General Description of Adverse Events (N=128 Individual Cases).

Category N (%)

Age
Not documented 1 (1)
0-23 months 48 (37)
2-3 years 25 (20)
4-8 years 23 (18)
9-13 years 14 (11)
14-18 years 17 (13)

Race
Not documented 80 (63)
Non-Hispanic white 14 (11)
Hispanic 12 (9)
African American 2 (2)
Asian 8 (6)
Other 12 (9)

Gender
Male 55 (43)
Female 55 (43)
Not documented 18 (14)

Time of Exposure
Prenatal 10 (8)
Postnatal 118 (92)

Main Adverse Event Reported*
Neurological (seizures, CNS depression, lethargy) 45 (35)
Gastrointestinal (nausea, vomiting, diarrhea) 18 (14)
Liver toxicity and jaundice 14 (11)
Cardiovascular/Hematological (hypertension, blood toxicity) 13 (10)
Dermatological (rash, burns) 12 (9)
Respiratory (coughing, respiratory depression) 9 (7)
Endocrine/Reproductive/Renal 8 (6)
Cyanosis 6 (5)
Neonatal withdrawal (drugs or alcohol) 2 (2)
Anaphylactic shock 1 (1)

Route of Administration
Unintentional oral ingestion 46 (36)
Intentional oral ingestion 37 (29)
Topically applied 22 (17)
Multiple modes 2 (2)
Not specified 2 (2)
Unintentional exposure to skin 1 (1)
Contaminated or Adulterated Products
Contaminated products reported in cases 6 (5)
Adulterated products reported in cases 2 (2)

Documentation of testing herb in lab 41 (32)

Documentation of lab work on patient 102 (80)

Documentation of exposure to heavy metals
Leads 9 (7)
Arsenic 2 (2)
None 117 (91)

Disposition
Resolution of symptoms following hospitalization 90 (70)
Resolution of symptoms with medications or outpatient therapy 18 (14)
Death 9 (7)
Disability 7 (6)
Organ transplantation 3 (2)
Not documented 1 (1)

Location of Case
United States 40 (31)
Europe (continental) 26 (20)
Asia 21 (17)
Australia 14 (11)
Great Britain 9 (7)
India Canada 6 (5) 5 (4)
Africa 3 (2)
Central America 3 (2)
Unknown 1(1)
*

This reflects the main clinical adverse event in case. Cases may have other symptoms reported.