#LiverDiseaseInHIV

👉 Liver-related disease has been estimated to account for 13%–18% of all-cause mortality in HIV-infected patients.

👉One of the leading causes of non-AIDS-related death.

dx.doi.org/10.1136/bmjgas…
👉Prompt recognition and diagnosis of liver disease in its early stages is an essential.

👉Poorly controlled HIV monoinfection is an independent risk factor for liver fibrosis.

#LiverInHIV
👉HIV-infected patients with controlled disease are prone to devel- oping liver diseases from simple and common causes such as ✅Alcoholic
✅NAFLD
✅viral hepatitis
✅ageing
✅ HAART-related toxicity and direct injury to the liver by the HIV virus itself.
Mechanism of Liver Injury in HIV ‼️

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More from @SyedGerdezi

4 Oct
How I Approach Patients With Elevated Serum Ferritin
An excellent article by @AmCollegeGastro with quite useful & practical points for GI Trainees. @BSGTrainees. @LiverFellow #LiverTwitter @GwentLiverUnit

journals.lww.com/ajg/Abstract/2…
👉Common Hepatology referral
❓HH/IO
⬇️ Fe = Iron Def
⬆️ Fe ≠ Iron Overload (not always)

Better used in combination with
✅History
✅TS Levels
Causes of ⬆️Fe

⬆️ Fe without IO

👉90 % cases
👉Liver (ARLD, NAFLD, Viral)
👉Inflammatory (acute,chronic, AI).
👉Metabolic-Syndrome
👉ETOH

⬆️ Fe with IO
👉Primary:Genetic
👉2ndary: ineffective erythropoiesis, frequent iron or blood transfusions.
Read 7 tweets

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