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Is Fatty Liver Caused By Hepatitis B Infection And Is This Reversible?

Posted on Tue, 1 Jul 2014

Question: Dear Doctor
I am XXXX(Age 34 male) from XXXXXXX I am diagnosed as HbAsg(+ve) through a blood test and I am a chronic carrier. My PCR viral load is 798 IU/ml. I went through an ultrasound scan of liver and following are the results:

Liver: Hyperechoic, Surface regular
Span: 14.7 cm
No focal lesion/IHBRD
Portal vein: 10.0 mm. Patent
Mean PVV: 26.0 cm/sec
Congestive index: 0.03
HVV - form - Biphasic
Velocity - 14.7 cm/sec
CBD - 3.2 mm, No calculi

GB: Normal. No calculi

Pancreas: Normal

Spleen: 7.7 x 3.9 cm

Right kidney: 8.9 x 4.0 cm. Normal CMD. No calculi.

Left kidney: 8.5 x 3.7 cm. Normal CMD. No calculi.

No free fluid.

IMPRESSION: GRADE I FATTY LIVER.

Doctor my question, is fatty liver caused by hepatitis b infection and is this reversible?

I have read about hepatitis c causing fattly but not sure about hepatitis b.

I have also done a liver function test and following are the results:

LFT: Bilirubin total - 1.0 mg/dL
Bilirubin direct - 0.1 mg/dL
SGOT - 26 u/L
SGPT - 31 u/L
Alkaline phosphatase- 101 u/L
Total protein - 7.0 gm/dL
Albumin - 4.5 gm/dL

HBeag (Chemiluminescence) - Non- reactive

Prothrombine Time: Test - 15.4 sec
Control - 13.1 sec
INR - 1.21

Please advice.

Answered by Dr. Vivek Chail (35 minutes later)

Brief Answer:
Please find detailed answer below

Detailed Answer:
Hi XXXX
Thanks for writing in to us.

I have read through your query in detail.
There has been medical research on hepatitis B and fatty liver in the year 2011. The liter a tyre says HBV infection is associated with a lower prevalence of fatty liver, hypertriglyceridemia and metabolic syndrome. Viral replication may affect lipid metabolism and this warrants further studies.

Fatty liver may be seen due to alcoholic liver disease and non alcoholic causes. Obesity and genetics also plays a role.

If you lead a healthy lifestyle then there is no need to worry. If you drink alcohol regularly then you should control it.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vivek Chail (22 hours later)

Thank you doctor. This helps.

Answered by Dr. Vivek Chail (8 hours later)

Brief Answer:
Welcome

Detailed Answer:
Hi XXXX
You are welcome and wishing you good health.

Please do contact us again should you have further queries and quote your Query Id 114301 and it will be directed to me.

Regards,
Dr.Vivek

Above answer was peer-reviewed by : Dr. Raju A.T