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Table 1 ravenscourt park hospital Nonalcoholic Steatohepatitis Primary Nash ·Obesity ·Diabetes ·Hyperlipidemia Secondary Nash Drug Treatments -Amiodarone -Perhexilene Maleate -Glucocorticoids -Synthetic Estrogens -Tamoxifen Surgical Procedures -Jejunal bypass -Gastroplasty for Morbid ravenscourt park hospital Obesity -Biliopancreatic Diversion -Extensive Small-Bowel Resection Other Metabolic Factors -Total ravenscourt park hospital Parenteral Nutrition -Acute Starvation -Rapid Weight Loss ·Miscellaneous -Bacterial overgrowth(jejunal diverticulosis) -Limb Lipodystrophy -Abetalipoproteinemia -Weber-Christian Disease The diagnosis of primary NASH depends on convincing evidence of negligible (£ 20 g ethanol/day) alcohol consumption. In fact, it is difficult to differentiate patients with NASH from asymptomatic ambulatory patients with alcoholic hepatitis on the basis of clinical and biochemical evaluations.3 Among several markers used as indicators of excessive alcohol consumption, the ratio of desialyted transferrin to total transferrin is the best single marker and has been reported to be more sensitive and specific than such markers as mitochondrial isoenzyme of AST, g-glutamyltransferase (GGT), mean corpuscular volume (MCV) and AST-to-ALT ratio greater than 2.4
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