Title of article :
Bleeding Milky Way!
Author/Authors :
Asgari ، Alireza Department of Internal Medicine - Imam Khomeini Hospital Complex - Tehran University of Medical Sciences , Daraei ، Morteza Department of Internal Medicine - Imam Khomeini Hospital Complex - Tehran University of Medical Sciences , Karimpour Reihan ، Sahar Department of Internal Medicine - Imam Khomeini Hospital Complex - Tehran University of Medical Sciences
Abstract :
Many people regard herbal plants as a safe natural product and routinely consume them for maintenance of healthy life or as home remedies without considering their potential health-threatening side effects. Here, we presented manifestations of milk thistle toxicity. The milk thistle’s flavonolignans, especially the silybin ingredient disturb the hemostatic process by dual anticoagulant and anti-platelet properties. This plant can inhibit serine proteases, including factors II and X as in the coagulation cascade as well as platelet activation by blocking adenosine diphosphate receptor and cyclooxygenase; hence, it causes bleeding diathesis.
Keywords :
Milk thistle , Bleeding , Platelet aggregation inhibitors , Factor Xa inhibitors , Antithrombins
Journal title :
Case Reports in Clinical Practice
Journal title :
Case Reports in Clinical Practice