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Title 非アルコール性脂肪性肝炎 (NASH)
Subtitle 特集 / 糖尿病診療の最前線 糖尿病の関連病態
Authors 国府島庸之
Authors (kana)
Organization 九州大学大学院医学研究院病態制御内科学(第三内科)
Journal 臨牀と研究
Volume 98
Number 1
Page 55-60
Year/Month 2021 / 1
Article 報告
Publisher 大道学舘出版部
Abstract 「はじめに」我が国では, 食生活の欧米化と生活習慣の変化のため肥満人口の増加が顕著で, メタボリックシンドローム・生活習慣病の罹患率は増加の一途をたどっている. 肝臓の脂肪化は飲酒, 薬物, 内分泌疾患, 中毒, 代謝異常など様々原因により起こるが, 肥満, 糖尿病, 脂質異常症等を背景にメタボリックシンドロームの肝臓での表現型として脂肪性肝障害を来したものが非アルコール性脂肪性肝疾患(non-alcoholic fatty liver disease:NAFLD)で, NAFLDのうち肝実質細胞の壊死, 炎症所見を伴う進行性の慢性疾患が非アルコール性脂肪性肝炎(non-alcoholic steatohepatitis:NASH)と考えられる. NASH症例の一部は肝硬変や肝細胞癌を発症するが, 近年の糖尿病を含めた生活習慣病の増加に伴って, NASHを基礎とした肝細胞癌は更に増加すると考えられ, 糖尿病の関連病態として解決すべき重要な問題である.
Practice 臨床医学:一般
Keywords
  • 全文ダウンロード: 従量制、基本料金制の方共に913円(税込) です。

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