Biochemical Features of Nonalcholic Hepatosteatosis

In this study we investigated the biochemical features of patients withNASH in Southestern Anatolia. One hundered and two patients wereincluded in the study (mean age 42.1; 52 (51%) female, 50 (49%) male).Fifty six patients were overweight, 27 were obese and 2 were morbid obese.Out of 102 patients 34 were in steatohepatitis group. Median AST level was34.6 U/L and ALT was 51.9 U/L. Tehre was diabetes mellitus in 15 patients.Obesity, hyperlipidemia and diabetes mellituswere important risk factors forNASH in our region. Steatohepatitis was more comman in male group. Inconclusion patients with hepatosteatosis must be evaluated with respect tosteatohepatitis and, if necessary, must be treated

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

Nurses' perceptions of aids and obstacles to the provision of optimal end of life care in ICU

Contains fulltext : 172380.pdf (publisher's version ) (Open Access

Symptomatic multifocal avascular necrosis in an adolescent with neuropsychiatric systemic lupus erythematosus

Systemic lupus erythematosus (SLE) is an autoimmune disorder characterized by malar rash, oral ulcers, arthralgia, photosensitivity and nephritis. Herein, we report a rare comorbidity, multiple avascular necrosis (AVN), in an adolescent SLE patient and also highlight the importance of risk factors for this comorbidity with a brief literature review. A 13-year-old female patient was admitted with severe headache, visual plus auditory hallucinations, polyarthritis and a history of recurrent oral ulcers. Acneiform malar rash, arthritis, cytopenia, low complement levels and autoantibody positivity yielded SLE diagnosis. We diagnosed her as having multifocal AVN after the 4th dose of cyclophosphamide, with bilateral knee pain and swelling and typical geographical lesions on magnetic resonance imaging. Avascular necrosis is a rare comorbidity of SLE and neuropsychiatric involvement, cyclophosphamide administration and severe disease may be the possible risk factors in addition to corticosteroid use. Further multicenter studies investigating the possible risk factors of AVN with a large number of patients are needed. © 2019 Termedia Publishing House Ltd.. All rights reserved