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Metabolic-associated Fatty Liver Disease (MAFLD): A Multi-systemic Disease Beyond the Liver

机译:代谢相关脂肪肝 (MAFLD):肝脏以外的多系统疾病

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摘要

Nonalcoholic fatty liver disease (NAFLD) is a multisystemic clinical condition that presents with a wide spectrum of extrahepatic manifestations, such as obesity, type 2 diabetes mellitus, metabolic syndrome, cardiovascular diseases, chronic kidney disease, extrahepatic malignancies, cognitive disorders, and polycystic ovarian syndrome. Among NAFLD patients, the most common mortality etiology is cardiovascular disorders, followed by extrahepatic malignancies, diabetes mellitus, and liver-related complications. Furthermore, the severity of extrahepatic diseases is parallel to the severity of NAFLD. In clinical practice, awareness of the associations of concomitant diseases is of major importance for initiating prompt and timely screening and multidisciplinary management of the disease spectrum. In 2020, a consensus from 22 countries redefined the disease as metabolic (dysfunction)-associated fatty liver disease (MAFLD), which resulted in the redefinition of the corresponding population. Although the patients diagnosed with MAFLD and NAFLD mostly overlap, the MAFLD and NAFLD populations are not identical. In this review, we compared the associations of key extrahepatic diseases between NAFLD and MAFLD.
机译:非酒精性脂肪性肝病 (NAFLD) 是一种多系统临床病症,表现为广泛的肝外表现,例如肥胖、2 型糖尿病、代谢综合征、心血管疾病、慢性肾病、肝外恶性肿瘤、认知障碍和多囊卵巢综合征。在 NAFLD 患者中,最常见的死亡病因是心血管疾病,其次是肝外恶性肿瘤、糖尿病和肝脏相关并发症。此外,肝外疾病的严重程度与 NAFLD 的严重程度平行。在临床实践中,了解伴随疾病的关联对于开始及时筛查和疾病谱的多学科管理非常重要。2020 年,来自 22 个国家的共识将该疾病重新定义为代谢(功能障碍)相关的脂肪肝病 (MAFLD),这导致了相应人群的重新定义。尽管诊断为 MAFLD 和 NAFLD 的患者大多重叠,但 MAFLD 和 NAFLD 人群并不相同。在本综述中,我们比较了 NAFLD 和 MAFLD 之间关键肝外疾病的相关性。

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