CHARACTERISTICS OF PEDIATRIC PATIENTS WITH LIVER STEATOSIS, AT THE OMAR TORRIJOS HERRERA PEDIATRIC SPECIALTIES HOSPITAL, 2018
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Abstract
Introduction: Hepatic steatosis is a pathology characterized by excessive accumulation of fat in the form of triglycerides (steatosis) at the level of hepatocytes (> 5%). The incidence in children is 5.3% and 9.6%. The objective of the research was to describe the characteristics of pediatric patients with hepatic steatosis, treated at the Pediatric Specialty Hospital, in 2018.
Methods: Descriptive, cross-sectional and retrospective observational study.
Results: 73 patients, 45.21% corresponded to new patients. With a predominance of adolescents (60.27%) and in the male sex (51%), with origin the province of Panama (68.49%), with a tendency towards obesity. The clinical manifestations were: hepatomegaly (32.88%), acanthosis nigricans (41.10%) and jaundice (6.85%) In the biochemical analyzes we found that 42.47% had elevated aspartate aminotransferase and 45.21% alanine aminotransferase. The diagnostic imaging method was ultrasound (98.63%). Most did not have a liver biopsy (93.15%).
Conclusions: Hepatic steatosis occurred more frequently in adolescents. However, preschoolers and schoolchildren (30-35%) of the cases which is a wake-up call about eating and lifestyle habits. In addition, 42-45% presented elevation of transaminases, most studies recognize age as a risk factor and together both factors significantly increase the risk of cirrhosis, which would lead to a public health problem since Panama does not We have a pediatric liver transplant that is the cure for this condition. Keywords: hepatic steatosis, obesity, acanthosis nigricans, hepatomegaly, transaminases.
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