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This is from one of my other groups from a doctor that is a member to help us! I am a member of the NASH group which is a liver disease in which I have along with RA. I thought that this would be of interest to some of you. NASH is a liver disease with no known cure.

Who should request from their physician an ultrasonography and laboratory tests to evaluate their liver ?

This is a partial list of causes of Fatty Liver Disease

Nutritional Drugs

Protein-caloric malnutrition Glucocorticoids

Starvation Synthetic estrogens

Total parenteral nutrition Aspirin

Rapid weight loss Calcium-channel blockers

Gastrointestinal surgery for obesity Amiodarone

Tamoxifen

Tetracycline

Methotrexate

Perhexiline maleate

Valproic acid

Cocaine

Antiviral agents:

zidovudine

didanosine

fialuridine

Metabolic or Genetic Other

Lypodistrophy Inflammatory Bowel disease

Dysbetalipoproteinemia Small-bowel diverticulosis with bacterial overgrowth

Weber-Christian disease Human immunodeficiency virus infection

Cholesterol ester storage Environmental hepatotoxins:

Acute fatty liver of pregnancy Phosphorus

Petrochemicals

Toxic mushrooms

Organic solvents

Bacillus cereus toxins

I'd worry specially in cases of:

1. Obesity

2.Diabetes Mellitus Type 2

3.Hypertrygliceridemia

4.Family history of steatohepatitis or cryptogenic cirrhosis

5.Females

I hope this information results useful. A happy weekend for you all.

Dr EC GERDING

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