the function of the liver which is measured by lab tests appears normal so i am hopeful that transplant will not be ncessary for some time. remember however there is a small, finite risk for the development of HCC, which could change things.
Based on the state of degree can an appreciation be made to how many months or years until a transplant is needed?
Thank you.
it could very well be fatty liver
I have taken tests for viral hepatitis and partially for the auto-immune hepatitis. The analysis were:
Anti-HBs - 6.7 NEGATIVE mUI/ml
Total anti-HBc - 11.55 POSITIVE S/CO
HBeAg - 0.352 NEGATIVE
Anti-HBe - 0.08 POSITIVE
Viral Load VHB - Undetectable
Viral Load VHC - Undetectable
Delta-Ag - Negative
HBs-Ag - 0.27 NEGATIVE
Serum Iron - 175.00
Antinuclear Antibodies (ANA) - 0.2 NEGATIVE
Anti-LKM-1 Antibody < 3 NEGATIVE AU/ml
Mitochondrial Antibodies (AMA) < 3 NEGATIVE AU/ml
ASMA - 1/80 POZITIVE
Ac anti SLA - 8.86 NEGATIVE U/ml
Ferritin - 129.26 ng/ml
AFP - 2.79 ng/ml
LIVER
- left lobe AP=83mm : - central lobe TR= 36mm : -right lobe PR=13,2 cm
- borselated surface with multiple nodular areas(10-11mm). dysmorphic liver, Mixed micro-and macronodular ecostructure, in some places macronodules with a diameter of 8 mm.
- no PLIH, repermeabilization schetch of U.O
- vascular design depleted decalibrated with echogenic perivascular cuffs, dysmorphic rigid character.
PORTAL VEIN:
- Right ramification trenchant, perivascular sleeve
- 12 mm diameter at the hilum
- Vm = 12.2 cm (I understand that is the appreciation rate, that if it was less than 8 cm at risk of thrombosis)
I tried to keep the translation as accurate as possible, because the original language is not english.
do they believe that you have fatty liver? The liver enzyme profile is unrevealing. has testing for viral hepatitis and autoimmune hepatitis also been performed?
no, a biopsy has never been taken.
thank you for the reply, I will post them here, both 2012 and 2013:
2012
fibrotest : 0.83
actitest: 0.32
steatotest: 0.43
ashtest: 0.01
nashtest: 0.25
alfa2-macroglobulin: 2.35
haptoglobin: 0.44
apolipoprotein A1: 1.38
total bilirubin: 36.00
ggt: 120
alt: 34
ast: 26
glicemia: 4.5
cholesterol: 3.96
triglicerides: 1.39
in 2013:
fibrotest : 0.88
actitest: 0.33
steatotest: 0.64
ashtest: 0.02
nashtest: 0.25
alfa2-macroglobulin: 2.02
haptoglobin: 0.311
apolipoprotein A1: 1.21
total bilirubin: 45.144
ggt: 165
alt: 33
ast: 28
glicemia: 6.051
cholesterol: 4.241
triglicerides: 2.021
If any other analysis are needed please let me know. Thank you for your time.
please send me the other data--cases of true cryptogenic cirrhosis are infrequent. have you ever had a liver biopsy?