Journal of the Korean Academy of Family Medicine 1990;11(9):23-31.
Published online September 1, 1990.

초음파로 진단된 지방간의 임상적 고찰 (Clinical Study on Fatty Liver Diagnosed by Ultrasonography)

박혜순(Park Hye Soon)

울산대학교의과대학 서울중앙병원 가정의학과

Abstract

Fatty liver is a common problem caused by several etiologies and can be reversed by removal of contributing factors.
In this study, age and sex distribution, clinical features, contributing factors, blood chemistry and hepatitis B viral markers were evaluated in 326 patients with fatty liver diagnosed by ultrasonography who were admitted by OPD of Family Medicine in Asan Medical Center from June 1989 to May 1990.
The following results were obtained.
1) The mean age of 326 cases was 47.8 years old and the male and female ratio was 2.3:1
2) Chief complaints were fatigue or malaise(13.2%), abdominal discomfort(12.9%), indigestion(10.7%), right upper quadrant discomfort(9.8%), abnormal transaminase(8.0%) and asymptomatic cases were 162 cases(49.7%).
3) Past medical histories were hypertension(10.1%), diabetes mellitus(5.2%), chronic liver diseases(4.9%), fatty liver(3.7%), hyperlipidemia(2.5%) etc.
4) Contributing factors of fatty liver were overweight(61.3%), unknown etiology(27.9%), alcohol(12.9%), hyperlipidemia(11.0%), diabetes mellitus(5.5%) in order of frequency and there were more than one contributing factors in 15.3%.
5) HBs Ag positive cases were 3.9% and any of HBV marker positive cases were 81.9%
6) At the time of diagnosis, AST(aspartate transferase) level was increased in 37.7%, ALT(alanine transferase) level in 38.3%, alkaline phosphatase in 7.4%, rGT(r-glutamyl transferase) in 13.8%, fasting blood sugar in 5.5%, cholesterol in 6.7%, triglyceride in 11.0%.