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"Golf ball liver": agent orange hepatitis.
  1. C Leonard,
  2. C M Burke,
  3. C O'Keane,
  4. J S Doyle
  1. Department of Medicine, James Connolly Memorial Hospital, Blanchardstown, Dublin, Ireland.


    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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