• Worsening cirrhosis can cause a build-up of fluid in different parts of the body such as the legs (edema) and abdomen (ascites). (wikipedia.org)
  • The development of complications, such as ascites, variceal bleeding, hepatic encephalopathy, spontaneous bacterial peritonitis, or hepatorenal syndrome, has a significant impact on the prognosis of patients with alcoholic cirrhosis. (ndnr.com)
  • Within 10 years of the diagnosis of cirrhosis, more than 50% of patients develop ascites. (ndnr.com)
  • Compensated liver disease with prothrombin time prolonged less than 3 seconds over control, serum albumin stable and within normal limits, total bilirubin and no history of hepatic encephalopathy, esophageal varices or ascites. (knowcancer.com)
  • Decompensated liver disease based on a history of hepatic encephalopathy, esophageal varices, or ascites. (knowcancer.com)
  • The many complications of cirrhosis include ascites, bleeding from oesophageal or abdominal varices, jaundice, clotting disorders, renal failure and hepatic encephalopathy (HE). (hepa-merz.com)
  • Liver cirrhosis is the endstage of different chronic liver diseases, and is often neglected until complications, such as variceal haemorrhage, spontaneous bacterial peritonitis, ascites, or hepatic encephalopathy occur. (web.app)
  • Extracardiac manifestations, such as massive ascites and liver cirrhosis. (web.app)
  • Ascites in hepatic cirrhosis is associated with advanced liver disease and with poor hepatic function and portal hypertension, and consequently it is also associated with a poor prognosis. (web.app)
  • Approach to the patient with ascites differential diagnosis. (web.app)
  • About the 60 % of patients with compensated cirrhosis develops ascites during the first 10 years after diagnosis. (web.app)
  • The development of ascites is an important landmark in the natural history of cirrhosis and has been proposed as an indication for liver transplantation. (web.app)
  • Management of adult patients with ascites caused by cirrhosis. (web.app)
  • Pathophysiology, diagnosis and treatment of ascites in cirrhosis 73 tention in cirrhosis. (web.app)
  • We conducted a cross-sectional study enrolling fifty-six patients of the chronic liver with Child-Pugh A, B, and C. The score was calculated based on the value of serum bilirubin, serum albumin, internationalized normal ratio (INR), and the severity of ascites and hepatic encephalopathy. (ejournals.ca)
  • Individuals with mild to moderate chronic hepatitis C infection are generally asymptomatic, while decompensated cirrhosis may be associated with fatigue, jaundice, loss of muscle mass (weight loss), ascites, edema, bruising (coagulopathy), gastrointestinal bleeding, and hepatic encephalopathy. (logicalimages.com)
  • Budd-Chiari syndrome is an uncommon condition induced by thrombotic or nonthrombotic obstruction of the hepatic venous outflow and is characterized by hepatomegaly, ascites, and abdominal pain. (medscape.com)
  • Patients were interested in a Smartphone application that could communicate with their physician (85%), send medication notifications to the patient (65%) and caregiver (64%), transmit diagnostic results and appointment reminders (82%), educate about liver disease (79%), regularly transmit weight data to the doctor (85% with ascites) and play a game to detect cognitive decline (67% with encephalopathy). (bmj.com)
  • CirrhoCare® algorithms assimilate data from multiple home-monitored, sensed and patient personalised variables, and use this for assisted early diagnosis of cirrhosis complications - e.g. hepatic encephalopathy and ascites. (cyberliver.com)
  • For patients with end-stage liver disease who present with ascites and varices, the doctor may not need to perform any diagnostic tests and can confirm a diagnosis based on symptoms. (hopkinsmedicine.org)
  • Cirrhosis is defined histologically as a diffuse hepatic process characterized by fibrosis and conversion of the normal liver architecture into structurally abnormal nodules. (medscape.com)
  • Cirrhosis, also known as liver cirrhosis or hepatic cirrhosis, and end-stage liver disease, is the impaired liver function caused by the formation of scar tissue known as fibrosis due to damage caused by liver disease. (wikipedia.org)
  • The inflammation in hepatitis can cause fibrosis, and eventually cirrhosis if allowed to continue, which is characterized by excessive liver scarring, vascular alterations, and eventual liver failure. (ndnr.com)
  • No clinical or histological evidence of cirrhosis (METAVIR fibrosis score 0 to 3). (knowcancer.com)
  • Liver cirrhosis is another name for extensive scarring of the liver (scarring is also called fibrosis). (medicine.com)
  • Hepatic Fibrosis Hepatic fibrosis is overly exuberant wound healing in which excessive connective tissue builds up in the liver. (msdmanuals.com)
  • General reference Cirrhosis is a late stage of hepatic fibrosis that has resulted in widespread distortion of normal hepatic architecture. (msdmanuals.com)
  • However, some non-invasive serological markers may also be useful to evaluate the stage of liver fibrosis in determining the severity of cirrhosis. (ejournals.ca)
  • Fibrous connections between portal areas (bridging fibrosis) may be called biliary cirrhosis. (vin.com)
  • While NAFLD is typically asymptomatic, it is the first step on a progression that can lead to cirrhosis, liver fibrosis, liver cancer, hepatic encephalopathy and a range of other severe and debilitating conditions. (owlstonemedical.com)
  • Once cirrhosis develops, treatment is aimed at the management of complications as they arise. (medscape.com)
  • More serious complications include hepatic encephalopathy, bleeding from dilated veins in the esophagus, stomach, or intestines, and liver cancer. (wikipedia.org)
  • Other medications may be useful for complications such as abdominal or leg swelling, hepatic encephalopathy, and dilated esophageal veins. (wikipedia.org)
  • The 5-year survival of individuals who develop any of these complications is only 20-50% of that for patients with compensated cirrhosis. (ndnr.com)
  • Cirrhosis and Its Complications. (hepa-merz.com)
  • From liver damage and liver cirrhosis to even death, hepatitis can develop serious complications as adults if it goes undetected. (firstcry.com)
  • Cirrhosis is a late-stage result of liver disease, and it's caused by several different complications. (maxlab.co.in)
  • Common signs and symptoms may stem from decreased hepatic synthetic function (eg, coagulopathy), portal hypertension (eg, variceal bleeding), or decreased detoxification capabilities of the liver (eg, hepatic encephalopathy). (medscape.com)
  • The clinical course of cirrhosis is generally chronic progressive and can lead to portal hypertension and disturbances of normal liver functions. (hepa-merz.com)
  • This, in turn, can lead to decreased detoxification of ammonia in the liver as a result of (a) loss of vital hepatic parenchyma: synthesis of urea and glutamine is reduced and (b) collateral circulation due to portal hypertension leads to increased concentrations of ammonia in the blood. (hepa-merz.com)
  • It can be associated with conditions such as portal hypertension, variceal hemorrhage, chronic hepatic encephalopathy, and hepatocellular carcinoma. (thieme-connect.com)
  • Revising consensus in portal hypertension: report of the Baveno V consensus workshop on methodology of diagnosis and therapy in portal hypertension. (thieme-connect.com)
  • The most common cause of portal hypertension is cirrhosis (scarring) of the liver. (hopkinsmedicine.org)
  • If you have an advanced liver disease, such as cirrhosis, you have an increased risk of developing portal hypertension. (hopkinsmedicine.org)
  • An imaging study helps in the diagnosis of cirrhosis and portal hypertension. (hopkinsmedicine.org)
  • Hepatic encephalopathy is impairment in neuropsychiatric function associated with portal hypertension. (hopkinsmedicine.org)
  • In patients with cirrhosis, most often the bleeding is related to esophageal varices, which are enlarged veins in your esophagus. (hopkinsmedicine.org)
  • Cutaneous manifestations of cirrhosis include jaundice, spider angiomata, skin telangiectasias ("paper money skin"), palmar erythema, white nails, disappearance of lunulae, and finger clubbing, especially in the setting of hepatopulmonary syndrome. (medscape.com)
  • Cardinal manifestations are jaundice, coagulopathy, and encephalopathy. (msdmanuals.com)
  • Patients who had undergone HCC surveillance were compared to those who had not (but had an obvious indication for surveillance, ie, liver cirrhosis or hepatic porphyria and an age of ≥ 50 years) regarding etiology, tumor burden, presence of extrahepatic spread, treatment and lead-time adjusted overall survival. (cbinsights.com)
  • 2 , 3 It has been estimated that approximately 90% of HCC cases are associated with a known underlying etiology, most commonly liver cirrhosis. (cbinsights.com)
  • 2 The risk of HCC is elevated for all patients with liver cirrhosis, but the etiology behind cirrhosis has an impact on the risk increase, where hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are associated with a higher risk increase. (cbinsights.com)
  • Clinicians should be careful to exclude other etiologies of liver failure that can predispose patients to developing hepatic venous outflow tract obstruction that is either nonocclusive or not the primary etiology of the patient's liver failure. (logicalimages.com)
  • for additional information on hepatitis B and C.) Cirrhosis of unknown etiology (cryptogenic cirrhosis) is becoming less common as many specific causes (eg, chronic hepatitis C, MASH) are identified. (msdmanuals.com)
  • Lastly a liver biopsy (the removal of a sample of liver tissue through a needle) may also be required to determine the underlying etiology of the hepatitis if the initial assessment did not yield a diagnosis. (mountelizabeth.com.sg)
  • The symptoms of hepatic encephalopathy may range from mild to severe and may be observed in as many as 70% of patients with cirrhosis. (medscape.com)
  • Specific medical therapies may be applied to many liver diseases in an effort to diminish symptoms and to prevent or forestall the development of cirrhosis. (medscape.com)
  • Cirrhosis can take quite a long time to develop, and symptoms may be slow to emerge. (wikipedia.org)
  • As cirrhosis progresses, symptoms can include neurological changes. (wikipedia.org)
  • Minimal hepatic encephalopathy is a subclinical phase of hepatic encephalopathy with no overt symptoms. (ima.org.il)
  • Heart failure (signs and symptoms, diagnosis) 4. (muni.cz)
  • What are the symptoms of liver cirrhosis? (medicine.com)
  • Most people have few symptoms (if any) in the early stages of cirrhosis. (medicine.com)
  • See your doctor if you have any signs or symptoms listed above, particularly if you also have one of the conditions that commonly cause liver cirrhosis. (medicine.com)
  • Treatment of concomitant disease and sequelae due to impaired detoxification activity (e.g. in cirrhosis of the liver) with the symptoms of latent and manifest hepatic encephalopathy. (hepa-merz.com)
  • Hepatic encephalopathy remains under-diagnosed and under-treated, as many patients and carers are unaware of the signs and symptoms of the disease. (norgine.es)
  • In addition, healthcare providers don't always identify and treat the often subtle symptoms of hepatic encephalopathy, and this can lead to poor patient outcomes and increased hospital admissions. (norgine.es)
  • [3] Severe HE has been estimated to affect 40% of people with cirrhosis and symptoms include disorientation, confusion, inappropriate behaviour and personality change. (norgine.es)
  • Early and accurate diagnosis is important in deciding appropriate care strategies, even if the patient is not exhibiting symptoms. (cdc.gov)
  • 10 11 Reduced guideline compliance has been associated with poor outcomes, including readmissions for overdiuresis, delayed hepatocellular carcinoma (HCC) diagnosis, reduced curative HCC treatment and increased oesophageal variceal haemorrhage. (bmj.com)
  • Cirrhosis is most commonly caused by alcoholic liver disease, non-alcoholic steatohepatitis (NASH - the progressive form of non-alcoholic fatty liver disease), heroin abuse, chronic hepatitis B, and chronic hepatitis C. Heavy drinking over a number of years can cause alcoholic liver disease. (wikipedia.org)
  • Less common causes of cirrhosis include autoimmune hepatitis, primary biliary cholangitis, and primary sclerosing cholangitis that disrupts bile duct function, genetic disorders such as Wilson's disease and hereditary hemochromatosis, and chronic heart failure with liver congestion. (wikipedia.org)
  • Hepatitis B vaccine can prevent hepatitis B and the development of cirrhosis, but no vaccination against hepatitis C is available. (wikipedia.org)
  • The most common underlying etiologies for HCC were hepatitis C (28.2%) and alcoholic liver disease (26.9%), and 94.8% had cirrhosis. (cbinsights.com)
  • Patients with acute hepatic venous outflow tract obstruction do not have collateral hepatic blood flow, resulting in ischemic hepatitis that can rapidly progress to fulminant liver failure. (logicalimages.com)
  • This diagnosis is carried out to test for recent infections in people with acute hepatitis as well. (firstcry.com)
  • Yes, I am on the board of a 501c3 hepatitis & liver disease organization and have worked with many people with hepatic encephalopathy. (askingthedoc.com)
  • We report the case of a 45-year-old African-American man with hepatitis C virus cirrhosis and human immunodeficiency virus who presented to our facility with a one-day history of confusion and a variable mental status. (biomedcentral.com)
  • He had a past medical history of human immunodeficiency virus (HIV) (on highly active antiretroviral therapy (HAART), compliant, since 1999), hepatitis C virus (+cirrhosis, -Epstein-Barr virus, -Spontaneous bacterial peritonitis, since 2002) and hypertension for 10 years. (biomedcentral.com)
  • Marking World Hepatitis Day, the Ministry stated that the occasion offers a crucial opportunity to raise public awareness about the disease and familiarise people with the prevention, diagnosis, and treatment methods to confront hepatitis, reduce the risk of infection, and prevent transmission. (gulfnews.com)
  • While hepatitis is a viral infection that primarily affects the liver, it can also have significant effects on the kidneys and potentially lead to kidney injury and liver cirrhosis under certain circumstances, a UAE doctor highlighted on the occasion of World Hepatitis Day. (gulfnews.com)
  • Alcoholic and Toxic hepatitis - Long-term abuse of alcohol can cause the cells in the liver to change and over time can lead to cirrhosis , a scarring of the liver, which is permanent and can reduce liver function. (mountelizabeth.com.sg)
  • Keywords: hepatocellular carcinoma, surveillance, survival, cirrhosis, chronic liver disease Introduction Hepatocellular carcinoma (HCC) is a significant global health issue. (cbinsights.com)
  • There are four main types of cirrhosis: alcoholic, biliary, primary sclerosing cholangitis, and nonalcoholic fatty liver disease. (maxlab.co.in)
  • Primary sclerosing cholangitis is another rare form of cirrhosis. (maxlab.co.in)
  • Liver cirrhosis is a common progressive and chronic clinical liver disease. (hindawi.com)
  • The RIFLE criteria have good maneuverability, high sensitivity, and high specificity in clinical research and can predict the prognosis of cirrhosis patients with AKI to a certain extent [ 6 ]. (hindawi.com)
  • Albilllos A, Garcia-Tsao G. Classification of cirrhosis: the clinical use of HVPG measurements. (hepa-merz.com)
  • Diagnosis is clinical. (msdmanuals.com)
  • Hepatic encephalopathy: definition, clinical grading and diagnostic principles. (journalrmc.com)
  • Information and current news about clinical trials and trial-related data, Hepatic Encephalopathy prevention, screening, research, statistics and other Hepatic Encephalopathy related topics. (askingthedoc.com)
  • The 2013 Neurocritical Care Society Practice Update states that "acute encephalopathy is synonymous with acute confusional state, acute organic brain syndrome or delirium…[it] describes the clinical presentation of a global cerebral dysfunction induced by systemic factors. (outsourcestrategies.com)
  • CirrhoCare® is a novel, multi-modal monitoring system designed specifically for managing decompensated cirrhosis patients in a non-clinical setting. (cyberliver.com)
  • A clinical diagnosis of hepatic encephalopathy was made and our patient was started on empiric therapy with lactulose and rifaximin. (biomedcentral.com)
  • Hepatic encephalopathy (HE) is a well known clinical entity and should be suspected in any patient with cirrhosis having neuropsychiatric manifestations in the absence of a brain lesion [ 1 ]. (biomedcentral.com)
  • In the present work, we report the case of a patient with a high clinical suspicion of hepatic encephalopathy who was eventually diagnosed as having non-convulsive seizures. (biomedcentral.com)
  • Beta-blockers to prevent gastroesophageal varices in patients with cirrhosis. (thieme-connect.com)
  • An endoscopy can provide a definitive diagnosis of the varices and allow your doctor to treat and reduce the risk of bleeding or active bleeding. (hopkinsmedicine.org)
  • Introduction: La ligature des varices Å sophagiennes constitue un des piliers de la prise en charge de l'hémorragie digestive par rupture des varices Å sophagiennes. (bvsalud.org)
  • A l'instar de la prise en charge de l'hémorragie digestive non liée à l'hypertension portale, nous voulions savoir si une prise en charge graduelle sans ligature de varices Å sophagiennes était envisageable. (bvsalud.org)
  • 0,01).Conclusion : La ligature de varices Å sophagiennes est indispensable dans la prise en charge de l'hémorragie digestive liée à l'hypertension portale. (bvsalud.org)
  • Cirrhosis is defined as the stage of disease when there is both widespread scarring of the liver and clusters (nodules) of hepatocytes reproducing (regenerating) themselves within the scars. (emedicinehealth.com)
  • As the condition worsens, the liver would take irreversible damage causing the development of cirrhosis , an extensive damage and scarring of the liver. (nursestudy.net)
  • Electroencephalography may be helpful in the initial workup of a patient with cirrhosis and altered mental status, when ruling out seizure activity may be necessary. (medscape.com)
  • l‐Ornithine l‐aspartate in acute treatment of severe hepatic encephalopathy: a double‐blind randomized controlled trial. (journalrmc.com)
  • Acute hepatic encephalopathy may be reversible, while chronic forms of the disorder are often progressive. (askingthedoc.com)
  • There are many different types of encephalopathy and the most common types are: toxic encephalopathy, metabolic encephalopathy, anoxic encephalopathy, hepatic encephalopathy, hypertensive encephalopathy, acute encephalopathy and chronic traumatic encephalopathy (CTE). (outsourcestrategies.com)
  • Acute encephalopathy is characterized by an acute or subacute global, functional alteration of mental status due to systemic factors. (outsourcestrategies.com)
  • Acute encephalopathy may be further identified as toxic, metabolic, or toxic-metabolic. (outsourcestrategies.com)
  • ICD-10-CM has many options for documenting its underlying cause, such as due to medications (toxic encephalopathy), metabolic issues (acute hypoglycemia, uremia, or hyponatremia), anoxia, and so on. (outsourcestrategies.com)
  • Twelfth rib syndrome: a differential diagnosis of loin pain. (bmj.com)
  • Non-convulsive status epilepticus should be considered in the differential diagnosis of patients with suspected hepatic encephalopathy who do not respond to empirical treatment. (biomedcentral.com)
  • Hepatic encephalopathy is usually suspected in patients who are cirrhotic with neuropsychiatric manifestations. (biomedcentral.com)
  • This type also has associated coagulation issues and encephalopathy manifestations. (nursestudy.net)
  • During angiography, a catheter is placed selectively via either the transjugular or transfemoral route into the hepatic vein to measure portal pressure. (medscape.com)
  • There can be a selective, partial constrictor effect on at least one of the hepatic vein as it enters the right atrium. (web.app)
  • Sonogram showing hepatic vein thrombus, with new vessels forming. (medscape.com)
  • Sonogram showing hepatic vein thrombus. (medscape.com)
  • Occlusion of a single hepatic vein is usually silent. (medscape.com)
  • An interventional radiologist may perform a pressure measurement study to evaluate the level of pressure in the hepatic (liver) vein. (hopkinsmedicine.org)
  • Ultrasonogram showing hepatic vein thrombus, with vessels forming arrow pointing to the thrombus. (medscape.com)
  • Ultrasonogram showing hepatic vein thrombus. (medscape.com)
  • Budd-Chiari syndrome is hepatic venous outflow tract obstruction due to either primary vascular occlusion (thrombosis) or secondary occlusion from extrinsic compression (eg, malignancy). (logicalimages.com)
  • Budd-Chiari syndrome is readily diagnosed via abdominal ultrasound with Doppler flow demonstrating occlusive clot in the hepatic venous outflow tracts. (logicalimages.com)
  • Moreover, the EEG patter provides the appropriate information about the neurological abnormalities associated with the severity of hepatic encephalopathy. (journalrmc.com)
  • The Child-Pugh score is an internationally accepted system for grading the severity of chronic liver disease such as cirrhosis. (ejournals.ca)
  • Tatjana Reic , President, ELPA said "In Europe, 200,000 people are affected by hepatic encephalopathy, yet despite the severity of the disease it is still under-diagnosed and under-treated. (norgine.es)
  • 4 There is also a substantial risk of developing HCC without the presence of liver cirrhosis, such as in the case of active HBV infection and hepatic porphyrias. (cbinsights.com)
  • It is estimated that of 100 patients infected with HCV, cirrhosis will develop over a period of 20 years in approximately 5-20, and approximately 1-5 patients will die from consequences of chronic infection. (logicalimages.com)
  • Clinicians should assess all patients with a confirmed diagnosis of chronic HCV infection, defined as a positive HCV surface antibody test result and detectable HCV RNA, for treatment. (hivguidelines.org)
  • Thus, it is important to make a definite diagnosis and initiate treatment in the early stage to decrease mortality and improve the prognosis. (hindawi.com)
  • It is a key predictive parameter for prognosis [ 3 ], suggesting a very poor result for patients with cirrhosis. (hindawi.com)
  • Therefore, it is important to make a definitive diagnosis in the early stage and to prescribe appropriate medications to avoid mortality and improve prognosis. (hindawi.com)
  • The prognosis is poor in patients with Budd-Chiari syndrome who remain untreated, with death resulting from progressive liver failure in 3 months to 3 years from the time of the diagnosis. (medscape.com)
  • 1 As rates of alcoholic and non-alcoholic liver disease rise, the healthcare burden of cirrhosis is expected to grow. (bmj.com)
  • The progression of liver injury to cirrhosis may occur over several weeks to years. (medscape.com)
  • Patients with HIV-HCV coinfection have a threefold higher rate of progression to cirrhosis than in HCV-monoinfected patients. (logicalimages.com)
  • Prognostic assessment in patients with hepatic encephalopathy. (hepa-merz.com)
  • Mitra LG, Rajput G, Saluja V, Kumar GJJoC, Research T. EEG abnormality as a prognostic factor in cirrhotic patients with Grade III-IV hepatic encephalopathy requiring mechanical ventilation: A retrospective analysis. (journalrmc.com)
  • Although many patients have ongoing PPI treatment after diagnosis of liver abscess, there are no data available that focus on the prognostic impact of PPI treatment in these patients. (medscape.com)
  • No specific treatment for cirrhosis is known, but many of the underlying causes may be treated by a number of medications that may slow or prevent worsening of the condition. (wikipedia.org)
  • Conclusion: Surveillance for HCC in at-risk patients is associated with diagnosis at an earlier tumor stage, treatment with curative intent and with improved lead-time adjusted overall survival. (cbinsights.com)
  • This material is provided for educational purposes only and is not intended for medical advice, diagnosis, or treatment. (medicine.com)
  • what is the treatment for Hepatic Encephalopathy? (askingthedoc.com)
  • Treatment will vary depending on the cause of cirrhosis and how much damage is present in the liver. (maxlab.co.in)
  • After five days of treatment, alternative diagnoses were sought and a neurology consult was requested. (biomedcentral.com)
  • The goal of the information is to encourage early and correct diagnosis, which is a requirement for giving the patient the best possible treatment, and which makes a big difference for all involved parties in a case. (leverforeningen.dk)
  • tis in 8 patients, electrolyte disturbance and · 14 patients with cirrhosis but without diuretics in 7 patients and paracentesis in 4 encephalopathy, with a mean age of 51.0 patients. (who.int)
  • To evaluate the correlation between the circulating levels of ARG-1, IL-13, FN, TIMP-1, MMP-1 with the score Child-Pugh in cirrhosis patients. (ejournals.ca)
  • Bile ducts are small tubes that transport bile from the liver to the larger hepatic ducts and into the gallbladder where bile is stored until a person eats. (emedicinehealth.com)
  • Primary biliary cirrhosis is an autoimmune disease of the liver marked by the slow progressive destruction of the small bile ducts within the liver. (the-medical-dictionary.com)
  • formerly known as primary biliary cirrhosis) is an autoimmune liver disorder characterized by the progressive destruction of intrahepatic bile ducts, leading. (msdmanuals.com)
  • Biliary cirrhosis is a rare form of cirrhosis that occurs when bile ducts inside the liver become damaged. (maxlab.co.in)
  • Hepatic encephalopathy as a complication of liver cirrhosis: an Asian perspective. (hepa-merz.com)
  • Methods We conducted a cross-sectional study of patients readmitted within 90 days for decompensated cirrhosis. (bmj.com)
  • Since cirrhosis occurs only in the later stage of PBC, the name primary biliary cirrhosis is actually a misnomer for patients in the earlier stages of the illness. (emedicinehealth.com)
  • Nonalcoholic fatty liver disease is a type of cirrhosis that occurs when there is too much fat in the liver. (maxlab.co.in)