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Hepatic steatosis. Presentation of 89 cases and literature review



Hepatic steatosis. Presentation of 89 cases and literature review



Acta Clin Belg 22(4): 209-226



The presence of an hepatomegaly (sometimes painful) accompanied by subicterus, vomiting, emaciation, edema, must evocate this disease, particularly in ethylism, diabetes, obesity, deficiency, anoxia. No typical elements except for hypoalbuminemia, hyperglobulinemia, hyperbilirubinemia and retention of bromesulfonephtalein are revealed in the laboratory. The rapid reversibility of fatty liver under normo-protidical diet, such as in kwashiorkor, is well known. The early elimination of the toxic factor (mainly ethanol) and a well balanced diet result in normalization of the liver structure, as was histologically demonstrated by repeated biopsies. The maintenance of the toxic effect or its late or incomplete suppression can lead to liver cirrhosis. Fatty liver of juvenile diabetes, which is easily reversible by insulin therapy, must be differentiated from fatty liver of obese diabetic patients, which is curable by low calories low fat diet. Steatosis can lead to cholostatic jaundice. Laparoscopy, biopsy, together with cholangiography will sometimes allow the patient to avoid the danger of a narcosis for laparotomy.

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Accession: 024779240

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