Tuesday, March 18, 2008

Alcoholic fatty liver clinical manifestations

 First, symptoms:
Asymptomatic more mild fatty liver, and severe fatty liver in chronic hepatitis can be demonstrated
similar performance, such as mild general malaise, fatigue, fatigue, abdominal discomfort, nausea,
vomiting, loss of appetite, abdominal distension, a few patients fever, diarrhea, limb numbness,
Shoushan, sexual dysfunction, male impotence.
Second, signs: Most good nutritional status, there are obese, and some patients have hepatomegaly, spleen little
more. AFL (alcoholic fatty liver) patients with severe rarely cholestasis. ALD the United States a
large-scale collaborative research shows that only 19% of the patients with organized AFL performance
of cholestasis, and the incidence of jaundice is as high as 31 percent, and the Organization of
cholestasis and liver cirrhosis in the AFL unrelated.
Sino-Japanese Friendship Hospital 15 cases of fatigue, abdominal distension, liver pain each 67%;
limbs, numbness, sexual dysfunction 47 percent each; impotence accounted for 40%, hepatomegaly three
cases station 20%, one of them moderately Fatty liver large 4 cm, the other one case of severe fatty
liver big 9 cm.
Third, laboratory tests:
Laboratory tests of liver function abnormalities, depending on the degree of fat invasion, and was
scheduled. Mild fatty liver can be no significant laboratory abnormalities, severe fatty liver, there
will be the ALT, AST and GGT, blood red of bile (BiL), and triglyceride (TG) of mild to moderate
increase. No alcohol in patients TG increased significantly.

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