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impaired liver function, plump fuck , plump girls galleries , immunization, refsum disease, poynard, plump buttocks , liverdisease, plump djs , iv drugs, plump teens , steatosis, sirrohsis, roferon a, pictures of fat girls , health news, pegasys combination therapy, fibrotest, hepatomegaly, jaundice, Most patients are female, though male patients are being identified increasingly, and obesity, diabetes mellitus, hypertension and hyperlipidaemia are common associated features. plump movies Conditions associated with liver biopsy findings of NASH include gastroplasty and jejunoileal bypass for morbid obesity, small intestinal resection, rapid weight loss from any cause, total parenteral plump movies nutrition and metabolic diseases plump movies such as Wilson's disease. A number of drugs such as corticosteroids, synthetic oestrogens, tamoxifen, perhexiline and amiodarone have also been associated with NASH. Back to top Laboratory investigations Liver function tests show that plasma transaminase activity increased usually about 2-4-fold (aspartate amino-transferase usually more than alanine amino-transferase), plasma alkaline phosphatase is mildly increased in about one-third, and plasma albumin is normal.
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These factors may cause production of proinflammatory cytokines, stellate cell activitation, fibrosis and hepatic cell damage. Back to top Clinical features Clinically, NASH is usually asymptomatic and is therefore often an incidental diagnosis made from liver function tests at health checks or in the investigation poynard of other disease. Care is needed in excluding alcohol abuse. It may account for up to 90% of isolated increases of plasma transaminase of otherwise unknown cause. Fatigue and poynard malaise have been attributed to NASH, and a few patients have abdominal pain reproduced by pressure over an enlarged liver. Hepatomegaly on palpation is found poynard in about three-quarters of patients but other features of cirrhosis are rare.
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