학술논문

Diagnostic Accuracy of Platelet Count and Platelet Indices in Noninvasive Assessment of Fibrosis in Nonalcoholic Fatty Liver Disease Patients
Document Type
Academic Journal
Source
Canadian Journal of Gastroenterology and Hepatology. Annual 2018, Vol. 2018
Subject
Fatty liver -- Comparative analysis
EDTA -- Comparative analysis
Fibrosis -- Comparative analysis
Liver diseases
Health
Comparative analysis
Language
English
ISSN
2291-2789
Abstract
Objective. Keeping in mind the rising prevalence of nonalcoholic fatty liver disease (NAFLD) and the need to establish noninvasive tests for its detection, the aim of our study was to investigate whether platelet count (PC), mean platelet volume (MPV), and platelet distribution width (PDW) can predict the presence of liver fibrosis in this group of patients. Methods. In 98 patients with NAFLD and 60 healthy volunteers, complete blood counts with automated differential counts were performed and values of PC, PDW, MPV, and PCT were analyzed. Results. Patients with NAFLD had lower PC and higher MPV, PCT, and PDW compared to the controls (P < 0.05). When NAFLD group was stratified according to severity of liver fibrosis, there was a statistically significant difference in the average values of PDW and PC between the groups (P < 0.05). Conclusion. Patients with NAFLD have significantly higher values of PCT, PDW, and MPV when compared to the healthy controls. Further studies are needed to establish their potential use for prediction of the degree of liver steatosis and fibrosis in NAFLD patients.
1. Introduction Nonalcoholic fatty liver disease (NAFLD) is the leading cause of chronic liver disease worldwide, affecting 20-30% of population in Western countries [1]. NAFLD is a spectrum from simple [...]