Fatty Liver (cont.)
In this Article
- Nonalcoholic fatty liver facts
- What are nonalcoholic fatty liver disease and steatohepatitis?
- Why is nonalcoholic fatty liver disease important?
- What causes nonalcoholic fatty liver disease?
- What is the difference between nonalcoholic fatty liver and steatohepatitis?
- What is the relationship between nonalcoholic fatty liver disease, obesity, and diabetes?
- What is the relationship between nonalcoholic fatty liver disease and the metabolic syndrome?
- What are the symptoms of fatty liver?
- How is nonalcoholic fatty liver disease diagnosed?
- What are the other causes of fatty liver?
- What are the complications of nonalcoholic fatty liver disease?
- How is nonalcoholic fatty liver disease treated?
- Weight loss and exercise
- Medications and other treatment options
- Bariatric surgery
- Liver transplant
- What is the relationship between nonalcoholic fatty liver disease and cardiovascular disease?
- What diseases are associated with nonalcoholic fatty liver disease?
- Does nonalcoholic fatty liver disease occur in children?
- Find a local Gastroenterologist in your town
What diseases are associated with nonalcoholic fatty liver disease?
The diseases of the metabolic syndrome that are associated with NAFLD have already been discussed. Other associations exist including fatty pancreas, hypothyroidism, polyps of the colon, elevated blood uric acid, vitamin D deficiency, polycystic ovaries, and obstructive sleep apnea. For example, half of patients with NAFLD have obstructive sleep apnea, and most patients with obstructive sleep apnea have NAFLD. Associations do not prove causation, and in most cases it is not clear why the associations exist--whether the associations are due to a causal relationship or they reflect an underlying common cause.
Does nonalcoholic fatty liver disease occur in children?
Since the current epidemic of obesity begins in childhood, it is not surprising to find that NAFLD occurs in children. Only a few studies are available, but the estimated prevalence among children 2-19 years of age is approximately 10%, the prevalence increases with the degree of obesity, and there is progression to cirrhosis. Although there is concern about NAFLD among children, there is not enough evidence of benefit of treatment, and, therefore, no general recommendation has been made to screen overweight and obese children for NAFLD. It is recommended, however, that children with suspected NAFLD in whom the diagnosis is not clear should have a liver biopsy. Children should not be started on any drug treatment for NAFLD without a biopsy showing NASH. Although there have not been studies in children to support the recommendations, loss of weight and exercise are the recommended treatment for children with NAFLD.
Medically reviewed by A Board Certified Family Practice Physician; MA License RI License
REFERENCE: MedscapeReference.com. Fatty Liver.
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