Abstract
Nowadays People use herbal medicines to try to maintain or improve their health but sometimes they cause side-effects and Some herbal drug may also interact with medication. We reported a 37 -year-old man who presented to the emergency department with sever watery diarrhea, vomiting, dysphagia, bicytopenia, renal failure and Acute esophageal necrosis, also known as black esophagus which is a rare syndrome characterized by a striking diffuse circumferential black appearance of the esophageal mucosa that universally affects the distal esophagus, 2-days after use of herbal drug named suranjan . Suranjan is a herbal formulation used to treat Rheumatoid arthritis
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