Who susceptible to fatty liver?
Some individuals develop fatty liver. Most non-alcoholic people develop fatty liver because of obesity. Fatty liver is called steatosis, and fatty liver with hepatitis is called steatohepatitis. Steatosis and fatty liver can be caused by alcohol and other drugs, and sometimes can occur in diabetic patients. Non-alcohol induced fatty liver refers to non-alcoholic steatohepatitis or NASH. The risk factors are not clear. Some moderately fat and a few non-obese patients develop fatty liver, while some are severely obese but not.
Patients with fatty liver often have unexplained elevated serum transaminases. Serum alkaline phosphatase and γ-glutamyl transpeptidase are usually normal. The patient usually exceeds her / his ideal body weight by 10% or more.
Other causes of hepatitis ruled out highly suspected of this diagnosis. Medical and alcohol consumption history should be asked and check serum HBsAg and hepatitis C antibodies.
Carefully ask the family history parallel examination to exclude metabolic diseases. If suspected autoimmune liver disease should be carried out serum protein point swimming and determination of autoantibodies. Sometimes fatty liver recognized elevated serum trigyceride, but this is not always the case.
If the patient’s serum aminotransferase increased more than 6 months, liver biopsy should be performed to diagnose fatty liver.
Fatty liver can develop into cirrhosis. Treatment (diet control and exercise) can stop the process. Weight control can improve steatosis and fatty liver. Best close to ideal weight. It is also beneficial to avoid alcohol and possible hepatotoxic drugs.