Auto-immuunhepatitis door zilverkaars

A 47-year-old woman presented with jaundice and abdominal symptoms resulting from autoimmune hepatitis. To treat menopausal symptoms she used a herbal medicine called Ymea, containing an extract of black cohosh (Cimicifuga racemosa). According to the criteria of the Council for International Organizations of Medical Sciences (CIOMS) there was a probable causal relationship between the use of black cohosh and the autoimmune hepatitis. This case report is the sixth in the international literature describing this association. It underscores the importance of asking patients about alternative medicines, such as herbal medicines, in addition to regular medication.