Successful Treatment Of Acute Toxic Hepatitis In Patient With Hepatic Steatosis And Metabolic Syndrome


A.V. Ruskikh

SBEI HPE "First MSMU n.a. I.M. Sechenov" of RMPHSD, Moscow
The combination of history of alcohol consumption and liver steatosis, according to different authors, may occur in 50% of cases. Clear differentiation of acute alcoholic hepatitis (AAH) and nonalcoholic steatohepatitis (NASH) is not always possible, because these conditions are often combined in clinical practice. This clinical example illustrates the \"crossing\" of the two hepatic diseases, which can be mutual confounders for two pathological processes - AAH and NASH. Currently, for a comprehensive treatment of the AAH and NASH, well-studied and safe combination of ornithine, ademetionine, pentoxifylline, metformin, ursodeoxicholic acid and thioctic acid (Thiogamma) should be used. Taking into account the participation of thioctic acid in antioxidant protection, administration of Thiogamma can be considered as reasonable treatment for all patients with metabolic syndrome and toxic liver injury.

About the Autors


Russkikh Alexander Vadimovich – PhD in Medical Sciences, doctoral student at the Department of Therapy and Occupational Diseases MPF SBEI HPE "First MSMU n.a. I.M. Sechenov" of RMPHSD. E-mail: avrussk@yandex.ru


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