'Golf ball liver': Agent orange hepatitis

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Abstract

2,4-Dichlorophenoxyacetic acid (2,4-D) is a selective weedkiller which works by uncoupling oxidative phosphorylation and is in widespread use. It is known as 'agent orange'. A 65 year old man had acute hepatitis, thought to be caused by exposure to 2,4-D. The patient ingested 2,4-D as a result of habitual licking of his golf ball. Clinical and histological data together with a challenge test confirmed the diagnosis of 'golf ball liver'.

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Leonard, C., Burke, C. M., O’Keane, C., & Doyle, J. S. (1997). “Golf ball liver”: Agent orange hepatitis. Gut, 40(5), 687–688. https://doi.org/10.1136/gut.40.5.687

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