4-Chloro-2-Methyl-Phenoxy Acetic Acid-Induced Liver Injury: A Case Report.

Chlorophenoxy herbicides are a major herbicide used by Sri Lankan farmers. One common variety of chlorophenoxy herbicides is 4-chloro-2-methyl-phenoxy acetic acid (MCPA). Reports of clinical toxicity of MCPA in humans are limited. To our knowledge, liver damage is a rare manifestation of MCPA poisoning, which has not yet been reported in Sri Lanka. We report a case of a farmer who presented with a heterogeneous pattern of liver damage after being exposed to the MCPA pesticide for six months and who later fully recovered with treatment.

Non-myeloproliferative Pancytopenia: A Rare Presentation of Thyrotoxicosis.

Thyrotoxicosis-induced pancytopenia is a rare manifestation. The practical challenge is to differentiate thyrotoxicosis-induced pancytopenia from the side effects of anti-thyroid treatment following the commencement of treatment. Although some of the possible underlying pathogeneses have been reported, the complete mechanisms remain unclear concerning pancytopenia in uncontrolled thyrotoxicosis. Thyrotoxicosis-induced pancytopenia is completely reversible with the administration of anti-thyroid drugs at an appropriate time and regular follow-up to prevent further recurrence.