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Symptomatic Hepatitis Associated with the Use of Herbal Red Yeast Rice

Harry Roselle, MD; Andrew Ekatan, MD; Jausheng Tzeng, MD; Mark Sapienza, MD; and Jeffrey Kocher, MD
[+] Article, Author, and Disclosure Information

From Englewood Hospital & Medical Center, Englewood, NJ 07631.

Ann Intern Med. 2008;149(7):516-517. doi:10.7326/0003-4819-149-7-200810070-00021
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Figure 1.
Liver core biopsy sample.

Patchy parenchymal degeneration and necrosis and mild inflammation (lymphocytes, histiocytiocytes, neutrophils, and plasma cells) are seen (hematoxylin–eosin; original magnification, × 400).

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Figure 2.
Information from a red yeast rice bottle purchased over the counter on 20 June 2007 at a local pharmacy.

The label does not list the actual chemicals the extract contains. Under the Dietary Supplement Health and Education Act, supplement makers do not have to list what chemicals are in their products.

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