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A 40-yr-old Sri Lankan female presented to the gastroenterology clinic with jaundice. Further work-up revealed extrahepatic cholestasis with a hepatocellular component; however, subsequent work-up revealed no significant findings. Hospitalization revealed hepatotoxicity associated with ingestion of a homemade herbal tea containing kelp (Laminaria), which was confirmed with further history. Hepatotoxicity associated with herbal tea ingestion is rare, but should be a consideration in patients with unexplained jaundice. Inquiries into dietary or herbal supplements should always be made during routine history taking, as it may be useful in achieving the diagnosis.

Hepatotoxicity Associated with Herbal Tea Containing Kelp