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Another day, another tragic story of organ damage from #herbals:

27/F with #psoriasis of her face, trunk and limbs for 10 yrs. Now this is a tough disease to get, especially for a young woman. Appearance affected, social stigma attached, no easy cure but can be controlled..
Initially consults dermatologist, counselled, started on topical agents, but visible change takes time. Not satisfied and seeking "cure" without "side effects" they approach local practitioner who prescribes herbal formulation to take daily - which she dutifully does for 10 yrs
During a routine evaluation for unrelated back pain, a serum creatinine done is 8.1 mg/dl- shockingly high! Further evaluation and a kidney biopsy reveals interstitial fibrosis in the renal cortex s/o Aristolochic acid nephropathy!
Here is the cheeky little culprit 👇
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