GENERAL INFORMATION

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Fatty liver, or fat accumulation in the liver cell (HEPATOSITO), is an inflammatory disease of metabolic origin that affects the liver.

This condition is the second or third most common chronic liver disease.

Fatty liver is also known as:

Steatosis when infiltration (deposit) and intrahepatic fat
Also when there is inflammation steatohepatitis.
There is another type of fatty liver, which is given by the intake of alcohol. This type is known as:

Alcoholic steatosis.
What causes it?

No one knows what causes fatty liver specific, some authors report that an aberration in the metabolism of fat (fatty acid triglycerides), which leads to an intrahepatic accumulation of triglycerides.

Fatty liver is probably due to an increase in the incidence of obesity, weight loss or oscillation due to the same diets that they are fashionable. Which predisposes to this disease, as can central obesity.

Fatty liver is currently the most common disease among overweight adolescents in North America.

CLINICAL

Many patients with fatty liver symptoms.

In patients with fatty liver, found that over half occur:

persistent fatigue or
discomfort in the right upper quadrant of the abdomen or
both.
On physical examination, patients have:

painless enlargement of the liver.
The patient with fatty liver are typically:

obese (70%) or overweight,
middle-aged,
disorder in the metabolism of sugar (glucose diabetes = 20%)
and disorder in the metabolism of fats (cholesterol and triglycerides hyperlipidemia = 20%), or both.
DIAGNOSIS

Patients with fatty liver or intrahepatic steatosis or steatohepatitis, are usually diagnosed when their doctor to present unexplained persistent elevation in liver function tests.

The levels of liver enzymes (liver function) are elevated in two or three times their normal values may be associated with increased levels of sugar, cholesterol and triglycerides. But overall the diagnosis is given when it is elevated liver enzymes (transaminases), alcohol consumption below 40 grams a week and tested negative for hepatitis B and C.

In cabinet exams liver ultrasound can be helpful, but definitive diagnosis is given by liver biopsy.

TREATMENTS AND RECOMMENDATIONS

The treatment of fatty liver is only palliative, as no definitive treatment exists.

For the management and control of the condition is recommended:

Avoid alcohol
Avoid eating liver damaging drugs (analgesics (paracetamol), anti-inflammatory, female hormones (estrogens), tetracyclines IV, sodium valproate, methotrexate, salicylates, etc..
Gradual weight reduction,
Avoid rapid weight loss because the picture worse.
Vaccinated against hepatitis A and B,
Increase intake of antioxidants (vitamin E and silymarin).
You have to treat associated diseases such as diabetes and hyperlipidemia.
Medical treatment is based Ursodeoxycolico acid and clofibrate.
FORECAST

Fatty liver (steatosis) is considered a non-progressive disease (benign) returning to normal when treated properly the underlying cause or deleted the offending agent

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