Four patients with severe muscle cramps were reported. In two of them the electrical signs of neuromyotonia were demonstrated. All the patients had undergone gastrectomy and all were immoderate consumers of alcohol. The neuromuscular disorder was reversible in all the patients.
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Identification of High-Risk Patients With Nonalcoholic Fatty Liver Disease in Endocrinology Clinics.
Endocr Pract
November 2023
Division of Endocrinology, Diabetes and Metabolism, University of Florida, Gainesville, Florida.
The twin epidemics of obesity and type 2 diabetes continue to increase worldwide, so does the associated chronic liver disease, nonalcoholic fatty liver disease (NAFLD). Although NAFLD has been thought of as a benign liver disease, current evidence suggests that it is a complex liver disease that, for approximately 20% of patients, can progress to fibrosis, cirrhosis, hepatocellular carcinoma, liver transplant, and death. It is important to note that, given NAFLD's association with metabolic syndrome, the number one cause of death among those with NAFLD is related to cardiovascular diseases.
View Article and Find Full Text PDFNonalcoholic Fatty Liver Disease.
Endocrinol Metab Clin North Am
March 2023
Emory University School of Medicine, 775 Johnson Ferry Rad. NE, Atlanta, GA 30342, USA; Atlanta, GA, USA. Electronic address:
Management of nonalcoholic fatty liver disease (NAFLD) is crucial for type 2 diabetes (T2D) remission because they are linked through the common pathophysiology of insulin resistance and lipotoxicity. One in three patients with T2D has nonalcoholic steatohepatitis leading to fibrosis, cirrhosis, and hepatocellular carcinoma. Noninvasive testing with imaging and/or serum biomarkers can assess the risk for advanced liver disease.
View Article and Find Full Text PDFA practical use of noninvasive tests in clinical practice to identify high-risk patients with nonalcoholic steatohepatitis.
Aliment Pharmacol Ther
February 2023
Liver and Obesity Research Program, Inova Health System, Falls Church, Virginia, USA.
Background: Patients with nonalcoholic fatty liver disease (NAFLD) with type 2 diabetes (T2D) or other components of metabolic syndrome are at high risk for disease progression. We proposed an algorithm to identify high-risk NAFLD patients in clinical practice using noninvasive tests (NITs).
Methods: Evidence about risk stratification of NAFLD using validated NITs was reviewed by a panel of NASH Experts.
Neuromyotonia in alcoholic patients with gastrectomy.
Rom J Neurol Psychiatry
November 1995
Institute of Neurology and Psychiatry, Bucharest, Romania.
Four patients with severe muscle cramps were reported. In two of them the electrical signs of neuromyotonia were demonstrated. All the patients had undergone gastrectomy and all were immoderate consumers of alcohol.
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