Publication Type : Journal Article
Publisher : Singapore Medical Journal
Source : Singapore Medical Journal, Volume 52, Number 3, p.175-181 (2011)
Keywords : adult, alcohol liver disease, Alcoholic, Alcoholism, article, biopsy, Blood Sedimentation, body weight, controlled study, differential diagnosis, erythrocyte count, Erythrocyte Indices, erythrocyte sedimentation rate, Fatty Liver, female, hematocrit, hematological parameters, hemoglobin, hemoglobin blood level, human, Humans, inflammation, international normalized ratio, lymphocyte count, major clinical study, male, mean corpuscular hemoglobin, mean corpuscular volume, middle aged, nonalcoholic fatty liver, Platelet Count, prothrombin time, Questionnaires, thrombocyte count
Campus : Kochi
School : School of Medicine
Department : Biochemistry
Year : 2011
Abstract : pIntroduction: Readily available laboratory tests are extremely useful in achieving a better understanding of diseases, and thereby, allow thoughtful management decisions to be made. The examination of peripheral blood smears usually provides excellent clues to the cause of the disease. The main objective of this study was to compare the haematological parameters of patients with non-alcoholic fatty liver disease (NAFLD) and alcoholic liver disease (ALD), and assess whether these tests have any discriminant value between the two conditions. Methods: The haematological parameters were investigated in 105 NAFLD patients, 40 ALD patients, 32 alcoholics and 77 normal participants. Results: The haemoglobin, red blood cell, haematocrit, lymphocyte count and platelet count were significantly reduced, while the mean corpuscular volume, mean corpuscular haemoglobin and prothrombin time expressed as an international normalised ratio (PT/INR) were significantly elevated in ALD patients compared to the other groups. The platelet count was significantly reduced, while the PT/INR and erythrocyte sedimentation rate (ESR) were significantly elevated in alcoholics compared to normal participants. ESR was also significantly elevated in ALD patients compared to normal participants and NAFLD patients. Compared to the control group, the NAFLD patients have significantly higher haematocrit and significantly lower platelet count. Conclusion: Chronic alcoholism is associated with inflammation and haematotoxic effects, while NAFLD has limited effect on haematological parameters./p
Cite this Research Publication : D. M. Vasudevan, Das, S. K., Mukherjee, S., and Balakrishnan, V., “Comparison of haematological parameters in patients with non-alcoholic fatty liver disease and alcoholic liver disease”, Singapore Medical Journal, vol. 52, pp. 175-181, 2011.