Evidence map›Paper›PMID 38076371›Full record

ArticleJournal of clinical and experimental hepatology

A Rare Cause of Acute on Chronic Liver Failure (ACLF): Bakuchi-Induced Liver Injury.

Harsh J Gandhi, Sanjay Chandnani, Anuraag Jena, Shubham Jain, Rishikesh N Malokar, Jay Chudasama, Rima Kamat, Cyriac A Philips, Pravin Rathi

Open access · greenAbstract readCase Reports
In one paragraph

Article in Journal of clinical and experimental hepatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Harsh J GandhiDepartment of Gastroenterology, TNMC BYL Nair Ch Hospital, Mumbai, India.
Sanjay ChandnaniDepartment of Gastroenterology, TNMC BYL Nair Ch Hospital, Mumbai, India.
Anuraag JenaDepartment of Gastroenterology, TNMC BYL Nair Ch Hospital, Mumbai, India.
Shubham JainDepartment of Gastroenterology, TNMC BYL Nair Ch Hospital, Mumbai, India.
Rishikesh N MalokarDepartment of Gastroenterology, TNMC BYL Nair Ch Hospital, Mumbai, India.
Jay ChudasamaDepartment of Gastroenterology, TNMC BYL Nair Ch Hospital, Mumbai, India.
Rima KamatDepartment of Pathology, TNMC BYL Nair Ch Hospital, Mumbai, India.
Cyriac A PhilipsClinical and Translational Hepatology, The Liver Institute, Center of Excellence in GI Sciences, Rajagiri Hospital, Aluva, Kerala, India.
Pravin RathiDepartment of Gastroenterology, TNMC BYL Nair Ch Hospital, Mumbai, India.
Topiwala National Medical College & BYL Nair Charitable Hospital · INRajagiri Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Psoralea corylifolia Linn (Bakuchi or Babchi), commonly known as purple fleabane, is a popular herb used in Ayurvedic traditional medicine. Its seeds, called Fructus Psoraleae, are traditionally used for treating leprosy, vitiligo, and psoriasis in the absence of empirical evidence. We report the first case of acute on chronic liver failure (ACLF) caused by Bakuchi, a well-documented hepatotoxic agent, in a middle-aged female. Her liver function deteriorated progressively which prompted us to go for a liver biopsy which was consistent with diagnosis of herb-induced liver injury after excluding all competing causes. Fortunately, the patient improved gradually after herb withdrawal and supportive care. Patients with underlying chronic liver disease (CLD) should be aware of risks in using untested herbal formulations. This case emphasizes the need for increased surveillance to formulate guidelines regarding the regulation and informed use of herbal supplements in patients with chronic liver disease.

Indexed as

ACLFayurvedaayushDILIHILI

Identifiers

PMID38076371
PMCPMC10709202
OpenAlexW4385797781

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.