Open AccessLipid Profiles as Markers for the Severity of Liver Diseases in Cirrhotic Patients
Author(s) -
Rehab Badawi,
Mohamed Zakaria Abu Rahma,
Haidi KaramAllah Ramadan,
Shimaa E. Soliman,
Dina A Mohareb,
Nehad Hawash,
Rania Mamdouh Elkafoury,
Sherief Abd-Elsalam
Publication year - 2021
Publication title -
the open biomarkers journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.184
H-Index - 5
ISSN - 1875-3183
DOI - 10.2174/1875318302111010093
Subject(s) - cirrhosis , medicine , gastroenterology , lipid profile , neutrophil to lymphocyte ratio , very low density lipoprotein , liver function , cholesterol , liver function tests , triglyceride , body mass index , lipoprotein , liver disease , lymphocyte
Background Liver cirrhosis is a diffuse process in which the anatomical structure and function of the liver are disturbed. Lipid metabolism occurs mainly in the hepatocytes. In liver cirrhosis, it is expected to detect abnormal lipid profile and abnormal neutrophil to lymphocyte ratio due to necro-inflammation and hepatocyte dysfunction. This study aimed to estimate the lipid profile in patients with liver cirrhosis and to assess its relation to the severity of the liver disease based on Child-Pugh Turcotte score and Neutrophil to Lymphocyte Ratio (NLR). Methods: This study included 500 cirrhotic patients. All patients are subjected to history taking, clinical examination, liver and renal function tests, lipid profile, and also abdomino-pelvic ultrasound. Child -Pugh score, fibrosis-4 score (FIB4), and neutrophil and platelet lymphocyte ratio were calculated. Results: A total of 500 patients were enrolled in this study; 12 patients were excluded (two patients were on the immunosuppressive drug, three patients had body mass index (BMI) >30, and seven patients took lipid-lowering drugs). Cholesterol level was significantly higher in patients with Child- Score A than B and C. Cholesterol, Low-Density Lipoprotein (LDL), and very-low-density lipoprotein (VLDL) cholesterol were significantly higher in Child B than C. A significant negative correlation was found between cholesterol level and each of FIB4 and NLR ratios. Conclusion: There was a significant negative correlation between the severity of liver cirrhosis and lipid profiles (except triglyceride), FIB4 and NLR ratio.