Abstract
Apple cider vinegar is a ubiquitous ingredient that has been used for many years. There are not many reports in the literature of idiosyncratic drug-induced liver damage linked to apple cider vinegar in people. As far as we are aware, liver damage is an uncommon side effect of long-term apple cider vinegar use. We describe the case of a 60-year-old man who had a long history of vinegar consumption and now had vinegar-induced hepatotoxicity. After the patient stopped using vinegar, his condition improved. This case emphasizes how important it is to take into account conventional substances like vinegar as possible causes of liver damage.