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Transitional features of histologic type of non-alcoholic fatty liver disease in Korean young men

Authors
 Ja Kyung Kim  ;  Nu Ri Chon  ;  Hyun Chul Lim  ;  Kwan Sik Lee  ;  Kwang Hyub Han  ;  Chae Yoon Chon  ;  Young Nyun Park  ;  Yong Han Paik 
Citation
 Journal of Gastroenterology and Hepatology, Vol.27(1) : 142-148, 2012 
Journal Title
 Journal of Gastroenterology and Hepatology 
ISSN
 0815-9319 
Issue Date
2012
MeSH
Adult ; Age Factors ; Alanine Transaminase/blood ; Analysis of Variance ; Asian Continental Ancestry Group/statistics & numerical data* ; Aspartate Aminotransferases/blood ; Biopsy ; Chi-Square Distribution ; Cholesterol/blood ; Clinical Enzyme Tests ; Fatty Liver/classification ; Fatty Liver/diagnosis* ; Fatty Liver/ethnology* ; Fatty Liver/pathology ; Humans ; Liver/pathology* ; Liver Cirrhosis/diagnosis ; Liver Cirrhosis/ethnology ; Male ; Non-alcoholic Fatty Liver Disease ; Predictive Value of Tests ; Prevalence ; Republic of Korea/epidemiology ; Retrospective Studies ; Severity of Illness Index ; Sex Factors ; Triglycerides/blood ; Young Adult
Keywords
Korean young men ; liver biopsy ; non-alcoholic fatty liver disease ; non-alcoholic steatohepatitis
Abstract
BACKGROUND AND AIM: The prevalence of non-alcoholic fatty liver disease (NAFLD) is increasing in Korea as the dietary pattern and lifestyle become more Westernized and the obese population increases. The spectrum of NAFLD ranges from asymptomatic steatosis to non-alcoholic steatohepatitis (NASH) and cirrhosis. Schwimmer et al. divided NASH into three types according to the histological characteristics, such as adult type, pediatric type and overlap type. We investigated clinical and histologic features of NAFLD patients in Korean young men. METHODS: A total of 64 male patients under age 30 years, diagnosed as NAFLD by a liver biopsy, were reviewed retrospectively. NASH was diagnosed by NAFLD activity score (NAS), and NASH patients were classified with Schwimmer's histological classification. RESULTS: Pathological features of liver biopsy revealed NASH in most cases (59 cases, 92.2%) including 29 cases (45.3%) of borderline NASH and 30 cases (46.9%) of definite NASH. The definite NASH group showed significantly high aspartate aminotransferase/alanine aminotransferase levels compared to the borderline NASH group. There were four cases (6.8%) of pediatric type, 17 cases (28.8%) of adult type, and 38 cases (64.4%) of overlap type in the NASH group. NAS was 3.75 ± 0.05 in the pediatric type, 4.29 ± 1.16 in the adult type and 4.87 ± 1.21 in the overlap type, and the overlap type showed a higher NAS than the pediatric type. The fibrosis stage was significantly higher in the overlap type than the other types. CONCLUSION: Most Korean young men with NAFLD turned out to have borderline or definite NASH. More than half of the NASH cases showed overlap type in Korean young men.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1440-1746.2011.06895.x/abstract
DOI
21883454
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ja Kyung(김자경) ORCID logo https://orcid.org/0000-0001-5025-6846
Park, Young Nyun(박영년) ORCID logo https://orcid.org/0000-0003-0357-7967
Paik, Yong Han(백용한)
Lee, Kwan Sik(이관식) ORCID logo https://orcid.org/0000-0002-3672-1198
Lim, Hyun Chul(임현철)
Chon, Chae Yoon(전재윤)
Han, Kwang-Hyub(한광협) ORCID logo https://orcid.org/0000-0003-3960-6539
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/90808
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