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Haya R. Rubin, MD, PhD
University of California Los Angeles

Albert W. Wu, MD
University of California San Diego

JAMA. 1988;259(13):1943.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—In a recent letter, Dr Spitzer¹ described syncope after the ingestion of a large amount of wasabe (a Japanese horseradish preparation commonly served with sushi). We report a similar episode at a Jewish Passover Seder. The Seder is a traditional Passover meal involving a series of ceremonial rituals, among them eating "bitter herbs" to commemorate the bitterness of Jewish slavery in ancient Egypt. Raw horseradish is commonly used for this purpose.

Report of a Case.

—A 55-year-old hypertensive man, who was being treated with a thiazide diuretic, conducted his family's Passover Seder. One of the bitter herbs was ground horseradish that had been prepared in an electric food processor earlier in the day and placed in an airtight container. The family had neglected to follow its custom of uncovering the horseradish before the Seder. In the usual Orthodox fashion, the man consumed the bitter herb after . . . [Full Text PDF of this Article]

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