Thin Patient, Fatty Liver
| Autor: | V. V. Pavan Kedar Mukthinuthalapati, Seema Gandhi, Carol Czapar, Bashar M. Attar, Yazan Abu Omar, Vikas Nath |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Muscle biopsy medicine.diagnostic_test business.industry Fatty liver General Engineering 030204 cardiovascular system & hematology Aspiration Pneumonitis medicine.disease Dysphagia Gastroenterology 03 medical and health sciences 0302 clinical medicine Internal medicine Liver biopsy Medicine medicine.symptom Steatohepatitis business 030217 neurology & neurosurgery Myositis Oropharyngeal dysphagia |
| Zdroj: | Cureus. |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.4139 |
| Popis: | A 49-year-old lady with no past medical history presented with dysphagia and 40-pound weight loss, which occurred over eight months. On physical examination, she had proximal muscle weakness and crackles in basilar regions of the lungs. Labs were significant for low albumin, elevated transaminases, and high aldolase. Imaging suggested aspiration pneumonitis in both lungs and hepatic steatosis. A swallow evaluation revealed oropharyngeal dysphagia and muscle biopsy confirmed a rare form of myositis. A liver biopsy showed steatohepatitis and a diagnosis of starvation-induced steatohepatitis was made. The patient succumbed to hypoxic respiratory failure from aspiration pneumonitis before the treatment for myositis could be initiated. We report the first case of starvation-induced steatohepatitis in a patient with dysphagia from myositis affecting the oropharyngeal musculature. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|