Acute pancreatitis associated with indigo naturalis in pediatric severe Crohn’s disease

The incidence of inflammatory bowel disease (IBD) is rapidly increasing worldwide. Indigo naturalis is known to have an antiinflammatory effect. Indigo naturalis has been traditionally used in the treatment of IBD in China and Japan. Currently, it is used as a primary or adjunctive drug in patients...

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Main Authors: Hyeon-A Kim, Hyo-rim Suh, Ben Kang, Byung-Ho Choe
Format: Article
Language:English
Published: Korean Association for the Study of Intestinal Diseases 2019-01-01
Series:Intestinal Research
Subjects:
Online Access:http://www.irjournal.org/upload/pdf/ir-2018-00104.pdf
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author Hyeon-A Kim
Hyo-rim Suh
Ben Kang
Byung-Ho Choe
author_facet Hyeon-A Kim
Hyo-rim Suh
Ben Kang
Byung-Ho Choe
author_sort Hyeon-A Kim
collection DOAJ
description The incidence of inflammatory bowel disease (IBD) is rapidly increasing worldwide. Indigo naturalis is known to have an antiinflammatory effect. Indigo naturalis has been traditionally used in the treatment of IBD in China and Japan. Currently, it is used as a primary or adjunctive drug in patients with ulcerative colitis. There are some reports of the effects of indigo naturalis when used in patients with ulcerative colitis. However, its usage has been associated with adverse events, including liver dysfunction, headache, gastrointestinal disturbance, and pulmonary hypertension. Pancreatitis as an adverse event during treatment using indigo naturalis has not yet been reported. We report a case of recurrent events of pancreatitis that occurred briefly after starting medication with indigo naturalis in a child with severe Crohn’s disease. The pancreatitis improved after indigo naturalis was discontinued in 2 events. This is the first case to report the association between pancreatitis and indigo naturalis in the English literature.
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spelling doaj.art-1b44004f05bb4f23a44d46c283a465852022-12-22T01:28:17ZengKorean Association for the Study of Intestinal DiseasesIntestinal Research1598-91002288-19562019-01-0117114414810.5217/ir.2018.00104716Acute pancreatitis associated with indigo naturalis in pediatric severe Crohn’s diseaseHyeon-A Kim0Hyo-rim Suh1Ben Kang2Byung-Ho Choe Department of Pediatrics, School of Medicine, Kyungpook National University, Daegu, Korea Department of Pediatrics, School of Medicine, Kyungpook National University, Daegu, Korea Department of Pediatrics, School of Medicine, Kyungpook National University, Daegu, KoreaThe incidence of inflammatory bowel disease (IBD) is rapidly increasing worldwide. Indigo naturalis is known to have an antiinflammatory effect. Indigo naturalis has been traditionally used in the treatment of IBD in China and Japan. Currently, it is used as a primary or adjunctive drug in patients with ulcerative colitis. There are some reports of the effects of indigo naturalis when used in patients with ulcerative colitis. However, its usage has been associated with adverse events, including liver dysfunction, headache, gastrointestinal disturbance, and pulmonary hypertension. Pancreatitis as an adverse event during treatment using indigo naturalis has not yet been reported. We report a case of recurrent events of pancreatitis that occurred briefly after starting medication with indigo naturalis in a child with severe Crohn’s disease. The pancreatitis improved after indigo naturalis was discontinued in 2 events. This is the first case to report the association between pancreatitis and indigo naturalis in the English literature.http://www.irjournal.org/upload/pdf/ir-2018-00104.pdfCrohn diseaseInflammatory bowel diseasePancreatitisChildKampo
spellingShingle Hyeon-A Kim
Hyo-rim Suh
Ben Kang
Byung-Ho Choe
Acute pancreatitis associated with indigo naturalis in pediatric severe Crohn’s disease
Intestinal Research
Crohn disease
Inflammatory bowel disease
Pancreatitis
Child
Kampo
title Acute pancreatitis associated with indigo naturalis in pediatric severe Crohn’s disease
title_full Acute pancreatitis associated with indigo naturalis in pediatric severe Crohn’s disease
title_fullStr Acute pancreatitis associated with indigo naturalis in pediatric severe Crohn’s disease
title_full_unstemmed Acute pancreatitis associated with indigo naturalis in pediatric severe Crohn’s disease
title_short Acute pancreatitis associated with indigo naturalis in pediatric severe Crohn’s disease
title_sort acute pancreatitis associated with indigo naturalis in pediatric severe crohn s disease
topic Crohn disease
Inflammatory bowel disease
Pancreatitis
Child
Kampo
url http://www.irjournal.org/upload/pdf/ir-2018-00104.pdf
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