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Dr. G. Bozet, MD

Significant fatigue and pruritus are common in patients with advanced NASH

Although early stages of NASH may not be associated with severe symptoms, it is increasingly appreciated that NASH is not an asymptomatic disease. In fact, systematic assessments of patients with NASH using validated health-related quality- of-life instruments suggest significant impairment of patient-reported outcomes...
Read MoreSignificant fatigue and pruritus are common in patients with advanced NASH

Review: Tumour incidence in patients with NAFLD

The spectrum that ranges from non-alcoholic fatty liver disease (NAFLD) to the more aggressive form of non-alcoholic steatohepatitis (NASH) all the way to liver cirrhosis is associated with complications and hepatocellular carcinoma. Extrahepatic malignancies are among the leading causes of death in patients with NAFLD, but little is known about...
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NAFLD and heart failure with preserved LV ejection fraction

The prevalence of NAFLD in heart failure preserved left ventricular ejection fraction (HFpEF) patients could reach 50%. Therefore, NAFLD is considered an emerging risk factor. The purpose of this review by R. Itier et al. (Department of Cardiology, CHU, Toulouse, France) is to provide an overview of the relationships between NAFLD...
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Extrahepatic manifestations of NAFLD: a review

Diagnosis and management of extrahepatic manifestations of NAFLD are crucial for the treatment of these patients. These manifestations include cardiovascular disease, type 2 diabetes mellitus, metabolic syndrome, chronic kidney disease, obstructive sleep apnea, polycystic ovarian syndrome, hypothyroidism, psoriasis, and extrahepatic malignancy...
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Kupffer cells and development of liver fibrosis in NASH

Although recent evidence suggests the involvement of iron accumulation in the pathogenesis of NASH, the underlying mechanisms remain poorly understood. Previously, Y. Kanamori et al. (Nagoya, Japan) reported a unique histological structure termed ‘‘crown-like structure (CLS),’’ where liver-resident macrophages (Kupffer cells) surround...
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Early NASH development: myosteatosis rather than sarcopenia

A substantial body of literature supports that a low muscle mass, low strength, and/or muscle fatty infiltration (myosteatosis) are associated with NAFLD severity. In order to decipher the kinetics of muscle alterations in relation with liver disease progression, M. Nachit et al. (Institute of Experimental and Clinical Research, UCLouvain, Brussels, Belgium)...
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Performance of non-invasive tests for the detection of advanced fibrosis in morbidly obese patients

SA Alqahtani et al. remind us of the burden of non-alcoholic fatty liver disease (NAFLD). In the USA, it is the most common cause of chronic liver disease and the prevalence is estimated to be about 25% and will increase in future years. For the management of patients with NAFLD, the determination of the fibrosis is essential. Liver biopsy is the gold standard...
Read MorePerformance of non-invasive tests for the detection of advanced fibrosis in morbidly obese patients