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논문 기본 정보

자료유형
학술저널
저자정보
Shang-Chin Huang (Department of Internal Medicine National Taiwan University Hospital Bei-Hu Branch Taipei; Division of Gastroenterology and Hepatology Department of Internal Medicine National Taiwan University Hospita) Chun-Jen Liu (Division of Gastroenterology and Hepatology Department of Internal Medicine National Taiwan University Hospital Taipei; Hepatitis Research Center National Taiwan University Hospital Taipei; Graduate I)
저널정보
대한간학회 Clinical and Molecular Hepatology Clinical and Molecular Hepatology 제29권 제2호
발행연도
2023.4
수록면
320 - 331 (12page)

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The prevalence of metabolic dysfunction-associated fatty liver disease (MAFLD) has increased among the general population and chronic hepatitis B (CHB) patients worldwide. Although fatty liver disease is a well-known risk factor for adverse liver outcomes like cirrhosis and hepatocellular carcinoma, its interactions with the hepatitis B virus (HBV) and clinical impacts seem complex. The presence of hepatic steatosis may suppress HBV viral activity, potentially leading to attenuated liver injury. In contrast, the associated co-morbidities like diabetes mellitus or obesity may increase the risk of developing adverse liver outcomes. These findings implicate that components of MAFLD may have diverse effects on the clinical manifestations of CHB. To this end, a clinical strategy is proposed for managing patients with concurrent CHB and MAFLD. This review article discusses the updated evidence regarding disease prevalence, interactions between steatosis and HBV, clinical impacts, and management strategies, aiming at optimizing holistic health care in the CHB population.

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