|
LIVER CIRRHOSIS |
[NB: percentages = frequencies in 'civilised' world; commonest cause worldwide is Hepatitis B]
|
commonest causes: |
alcoholic liver disease (60-70%) chronic hepatitis B or C infection (10%) haemochromatosis (5%) cryptogenic (idiopathic) cirrhosis (10-15%) non-alcoholic steato-hepatitis (possibly up to 10%) |
|
|
biliary disease (5-10%): |
primary biliary cirrhosis chronic cholangitis / obstruction |
|
|
rare causes: |
a 1-antitrypsin deficiencyWilson's disease chronic severe heart failure ('cardiac cirrhosis')post-necrotic (localised fibrosis)Budd-Chiari syndrome cystic fibrosis galactosemia, glycogen storage diseases, tyrosinosis hereditary haemorrhagic telangiectasia intestinal bypass operation (for morbid obesity)congenital syphilis schistosomiasis diffusely infiltrative liver carcinoma |
|
|
drugs: |
isoniazid methyldopa practolol methotrexate nitrofurantoin |
|
click here to return to the main contents page of Differential Diagnoses in General Medicine