Search In this Thesis
   Search In this Thesis  
العنوان
The pattern of Liver Disease
In non-B, non-C Egyptian patients
With Type2 Diabetes
المؤلف
Hassan Abd El Gawad,Mohammed
الموضوع
Pathophysiology.
تاريخ النشر
2008 .
عدد الصفحات
170.P؛
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
علم الأوبئة
تاريخ الإجازة
1/1/2008
مكان الإجازة
جامعة عين شمس - كلية الطب - tropical medicine
الفهرس
Only 14 pages are availabe for public view

from 179

from 179

Abstract

The spectrum of liver diseases in diabetes mellitus among the studied sector of Egyptian patients ranged from steatosis, steatohepatitis and fibrosis as the histopathological study of the specimens showed steatosis in 53% (17 patients), necro-inflammation in 31% (10 patients), and fibrosis was present in 31% (10 patients).
Ultrasonography examination showed 100% sensitivity in detection of the fatty changes of the liver as bright liver was reported in our diabetic patients in 88%, however the specificity was 27% only.
The predictors of steatosis were the age and the diabetic state (blood glucose levels).
Also the predictors of necro-inflammation (hepatitis) were the age and the diabetic state (blood glucose levels). On the contrary, no predictors of fibrosis as no statistical difference regard the fibrosis and all other variables.
Liver cirrhosis was not detected among our cases either because it’s rare occurrence as a complication of diabetes mellitus or because it needs more prolonged period of diabetes mellitus to occur.