Cirrhosis of the liver micronodular K74.6

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Fat cirrhosis; fatty cirrhosis; Micronodular liver cirrhosis; Steatocirrhosis

Definition
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Micronodular liver cirrhosis is judged by its macroscopic shape and is defined as liver cirrhosis with regenerated nodes up to 3mm in diameter.

Adipose cirrhosis is defined as micronodular liver cirrhosis, which is interpreted as a consequence of fatty liver. This form of liver cirrhosis is accompanied by more or less severe fatty degeneration of the parenchymal cells. Furthermore, it is characterized by the formation of connective tissue septa in the lobular centre and periportal region. The parenchyma of the liver is yellowish, enlarged, with smooth edges, increasingly consistent and (often) with a smooth surface.

Etiopathogenesis
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Fat cirrhosis is often (but not always) of alcoholic-toxic origin (a consequence of alcoholic (ASH) or non-alcoholic steatohepatitis (NASH). As long as there is no clinical manifestation, cirrhosis is called compensated.

Note(s)
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NASH and liver cirrhosis have an increased risk of developing hepatocellular carcinoma (HCC). Liver cirrhosis is associated with a number of skin changes (see Liver diseases, skin changes).

Disclaimer

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Last updated on: 29.10.2020