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

Article information

J Korean Med. 2016;37(1):151-157
Publication date (electronic) : 2016 March 31
doi : https://doi.org/10.13048/jkm.16014
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 2016 February 23; Revised 2016 March 14; Accepted 2016 March 21.

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.

Fig. 2.

Ultrasonography findings of liver at 2015.9.4.

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

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

(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)

The improvement of clinical symptoms

Classification of Fatty Liver by Scararige

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Article information Continued

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)

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

(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