A case of nonalcoholic steatohepatitis due to anorexianervosa revealed hepatic failure with marked hepatomegaly.

光宏, 寺田; 恒, 木谷; 信二, 増田; 安二, 中沼

doi:10.2957/kanzo.38.617

Cited by 5 publications

(1 citation statement)

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“…Liver dysfunction is a common complication of AN that is reported seen in approximately 30% to 60% of cases (2)(3)(4). The histological liver findings of patients with AN sometimes reveal steatohepatitis, similar to those of patients with nonalcoholic fatty liver disease (NAFLD) (5)(6)(7). However, it is rare for patients with AN to develop gastroesophageal varices (GEV) due to advanced chronic liver disease.…”

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confidence: 99%

Gastroesophageal Varices and Hyperplastic Nodules of the Liver in a Patient with Anorexia Nervosa

et al. 2021

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We report a case of anorexia nervosa (AN) with gastroesophageal varices (GEV) in a 36-year-old woman. The patient presented to our hospital with progressive bloating due to severe ascites. She had no history of alcohol intake. Esophagogastroduodenoscopy and enhanced computed tomography revealed GEV and multiple hepatic nodules, respectively. The histological examination of a liver biopsy specimen revealed similar features to nonalcoholic fatty liver disease and showed hyperplastic nodules that were suspected to be related to the uneven distribution of portal blood flow in the liver. In conclusion, patients with long-term AN should undergo abdominal imaging to detect signs of portal hypertension.

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