A Case Study on A Patient with Non-Alcoholic Fatty Liver Disease (NAFLD) by Using Ultrasound

Baik Tai-Hyeun; Tai-Hyeun, Baik

doi:10.13048/jkm.16014

JKM > Volume 37(1); 2016 > Article

Tai-Hyeun: A Case Study on A Patient with Non-Alcoholic Fatty Liver Disease (NAFLD) by Using Ultrasound

Case Report

The Journal of Korean Oriental Medicine 2016; 37(1): 151-157.

Published online: March 31, 2016

DOI: https://doi.org/10.13048/jkm.16014

A Case Study on A Patient with Non-Alcoholic Fatty Liver Disease (NAFLD) by Using Ultrasound

Baik Tai-Hyeun^*

Dept. of Internal Medicine, College of Korean Medicine, Sangji University

Correspondence to: 백태현, 강원도 원주시 우산동 283번지, 상지대학교 부속한방병원 내과학교실, Tel: +82-33-741-9207, E-mail: white@sangji.ac.kr

Received February 23, 2016 Revised March 14, 2016 Accepted March 21, 2016

Abstract

Objectives:

The purpose of this study is to report the clinical effect of Shihosogan-tang extract on NAFLD through ultrasound.

Methods:

The patient was treated with Shihosogan-tang extract. We observed the changes in symptoms and ultrasound imaging on a patient with NAFLD.

Results:

After treatment, the symptoms of the patient with NAFLD were decreased and ultrasound imaging were improved from moderate to mild grade.

Conclusion:

The patient of NAFLD was improved in symptoms and ultrasound imaging.

Keywords: Non-alcoholic fatty liver disease, NAFLD, Roaccutane, Isotretinoin, Sonography, Shihosogan-tang

Fig. 1.

Ultrasonography findings of liver at 2015.6.4.

(A): US image shows moderate obscuration of diaphragm and hepatic vessels due to fatty infiltration

(B): The echo-texture of the liver is brighter than the right kidney due to fatty liver

Fig. 2.

Ultrasonography findings of liver at 2015.9.4.

(A): The obscuration of diaphragm and hepatic vessels is lesser than Fig.1 (A)

(B): The difference in echogenicity between the liver and right kidney is lesser than Fig.1 (B)

Fig. 3.

Ultrasonography findings of liver at 2015.12.22.

(A): US image shows slight obscuration of diaphragm and hepatic vessels

(B): The difference in echogenicity between the liver and right kidney is lesser than Fig.1 (B)

Table 1.

The improvement of clinical symptoms

Date	2015.6.4.	2015.7.2.	2015.9.4.	2015.11.4.	2015.12.21.

Symptom
疲勞	+++	+++	++	++	+
上熱感	++	++	+	+	±
易怒	+++	+++	++	+	±
偏頭痛	++	++	++	+	+
消化不良	+++	++	++	+	±

Symptom Grade : +++ severe, ++ moderate, + mild, ± trace

Table 2.

Classification of Fatty Liver by Scararige

구 분	판 정 기 준
輕症 (mild)	우측 신실질의 에코(echo)보다 간실질의 에코가 약간 증가된 상태로 간내 혈관들이나 횡격막이 잘 보이는 경우
中等度 (moderate)	우측 신실질의 에코보다 간실질의 에코가 중간 정도 증가된 상태로 간내 혈관들이나 횡격막이 약간 불분명하게 보이는 경우
重症 (severe)	우측 신실질의 에코보다 간실질의 에코가 심하 게 증가된 상태로 간내 혈관들이나 횡격막이 거 의 보이지 않는 경우

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