PT - JOURNAL ARTICLE AU - Philips, Cyriac Abby AU - Augustine, Philip AU - Paramaguru, Rajaguru AU - Ahamed, Rizwan TI - Homeopathy-medicine induced severe alcoholic hepatitis AID - 10.1136/bcr-2019-229627 DP - 2019 May 01 TA - BMJ Case Reports PG - e229627 VI - 12 IP - 5 4099 - http://casereports.bmj.com/content/12/5/e229627.short 4100 - http://casereports.bmj.com/content/12/5/e229627.full SO - BMJ Case Reports2019 May 01; 12 AB - We present a teetotaler with compensated non-alcoholic fatty-liver-disease related cirrhosis who presented with acute worsening of his chronic liver disease. The acute event was not discernible even after extensive work up and finally a transjugular liver biopsy revealed features suggestive of severe alcoholic hepatitis. The patient and the family denied occult alcohol use when questioned over multiple times and finally, the culprit ‘alcohol’ was found to be the homoeopathy medicines that the patient was consuming over a month for treatment of Gilbert’s syndrome. We retrieved and tested the homoeopathy drug for alcohol content and found an alarming 18% ethanol in the same, confirming our diagnosis.