Name
NON-ALCOHOLIC FATTY LIVER DISEASE
DESCRIPTION
DETAIL
CAUSES : 1. NUTRITIONAL ABNORMALITIES : - OBESITY - TOTAL PARENTERAL NUTRITION - RAPID WEIGHT LOSS 2. METABOLIC DISEASES - DIABETES MELLITUS - HYPERTRIGLYCERIDEMIA - ABETALIPOPROTEINEMIA - HYPOBETALIPOPROTEINEMIA - WEBER-CHRISTIAN DISEASE - LIMB LIPODYSTROPHY 3. DRUGS - SYNTHETIC ESTROGENS - CORTICOSTEROIDS - AMIODARONE - METHOTREXATE - PERHEXILINE - DILTIAZEM - NIFEDIPINE 4. SURGERY - JEJUNOILIAL BYPASS - GASTROPEXY - EXTENSIVE SMALL BOWEL LOSS - BILIOPANCREATIC DIVERSION 5. OCCUPATIONAL EXPOSURE - ENVIRONMENTAL TOXINS LIKE HYDROCARBONS
TYPENOTES
NON-ALCOHOLIC FATTY LIVER DISEASE PATIENTS WITH THREE OR MORE OF THE FOLLOWING CHARACTERISTICS ARE MORE LIKELY TO HAVE NASH THAN SIMPLE STEATOSIS. 1. FEMAL GENDER 2. AGE =/> 50 YRS 3. BMI =/> 30 KG/ SQ.M 4. AST =/> 45 IU 5. AST/ALT RATIO =/> 0.8 SERUM HYALURONIC LEVEL =/> 55 MCG/L PATIENTS WITH NASH HAVE DECREASED ADIPONECTIN LVELS & THESE LEVELS INVERSELY CORRELATE WITH THE DEGREE OF OBESITY & SVERITY OF INSULIN RSISTANCE. 28% OF PATIENTS WITH NASH, IN CONTRAST TO SIMPLE STEATOSIS MAY PROGRESS TO CIRRHOSIS
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
BLOOD SUGAR ( FASTING ), ULTRA SOUND WHOLE ABDOMEN - FEMALE, BLOOD SUGAR ( AFTER MEALS ), COMPLETE BLOOD COUNT, LIPIDS PROFILE, LIVER FUNCTION TEST