Liver toxicity from vitamin A

Hepatic toxicity secondary to hypervitaminosis A is extremely rare. We report the case of a 27‐year‐old Caucasian female who presented for an investigation of abdominal pain, cholestatic liver function tests, and abnormal computerized tomography findings. She had been prescribed isotretinoin for her acne and had subsequently purchased vitamin A online, which she consumed daily for over 18 months. This is a case report of a young female presenting with abnormal liver function and ascites secondary to hypervitaminosis A. The patient was ordering vitamin A online to self‐treat her acne.