# A Rare Presentation of Drug-Induced Autoimmune Hepatitis and the Role of Male Enhancement Supplements

## TL;DR

A man developed autoimmune liver disease after using a male enhancement supplement, suggesting it may trigger drug-induced autoimmune hepatitis.

## Contribution

Highlights a rare case linking male enhancement supplements to drug-induced autoimmune hepatitis.

## Key findings

- A 45-year-old male developed autoimmune hepatitis after using a male enhancement supplement.
- The case suggests that over-the-counter supplements may act as environmental triggers for autoimmune liver disease.

## Abstract

Autoimmune hepatitis (AIH) is a condition characterized by an autoimmune response resulting in chronic inflammatory liver disease. Its presentation is marked by significant increases in serum immunoglobulins and the production of active autoantibodies that target liver tissue. AIH is often associated with other autoimmune disorders, which can lead to overlapping clinical syndromes. However, alternative theories propose that exposure to specific environmental triggers can initiate this autoimmune cascade. We present the case of a 45-year-old male who sought evaluation for abdominal discomfort and was subsequently diagnosed with drug-induced AIH (DIAIH) following prolonged use of an over-the-counter male-enhancing supplement.