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Clinical Profile of Diabetic Patients with Liver Dysfunction

Prashanth G., Professor, Department of General Medicine, Basaveshwara Medical College, Chitradurga Karnataka 577502, India. , Ghouse Pasha1 , Prashanth G.2

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Indian Journal of Emergency Medicine 4(2):p 131-135, April-June 2018. | DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4218.11

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Abstract

The spectrum of clinical disease in fatty liver with steatohepatitis varies from the asymptomatic elevation of liver enzymes to severe liver disease with fibrosis and nodular regeneration. Patients with nonalcoholic steatohepatitis can develop progressive liver disease and complications to the point that they may need liver transplantation.Nonalcoholic steatohepatitis should be considered as a cause for chronically elevated liver enzymes in asymptomatic diabetic patients particularly if they are obese and have hyperlipidemia.This study was carried out among 100 diabetic patients diagnosed to be with hepatic dysfunction attending tertiary care hospital during the study period. Maximum number of patients had diabetic nephropathy (17%), followed by diabetic retinopathy (15%), peripheral neuropathy (11%) and peripheral vascular disease (4%). Neuropathy, Nephropathy, PVD and Retinopathy were present in patients
who had diabetes for more than 10 years.

Keywords: Diabetes; LFT; NAFLD.

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4218.11

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