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Aflatoxins in Liver Biopsies from Sudanese Children

J. B. S. Coulter^*,,, G. I. Suliman^**, S. M. Lamplugh, B. I. Mukhtar AND R. G. Hendrickse

^* Department of Paediatrics and Child Health, Faculty of Medicine, University of Khartoum, The Sudan
^** Children's Emergency Hospital, Ministry of Health, The Sudan
Department of Tropical Paediatrics, School of Tropical Medicine, Liverpool
Department of Pathology, Ministry of Health, The Sudan

Aflatoxin analysis of 40 percutaneous needle liver biopsies in 27 children with protein-energy malnutrition and 13 children with miscellaneous liver disease in The Sudan is reported. Aflatoxins B₁, B₂ and aflatoxicol were detected in 5 of the 16 biopsies from kwashiorkor but in none of 11 biopsies from marasmus or marasmic kwashiorkor. Aflatoxins G₁, G₂ and M₂ were detected in 5 of 12 children with chronic liver disease. A very high concentration of aflatoxicol was found in a breast-fed infant with neonatal hepatitis of unknown etiology.

Accepted for publication September 30, 1985.