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KMID : 1123920090230040919
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Korean Journal of Oriental Physiology and Pathology
2009 Volume.23 No. 4 p.919 ~ p.924
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Case Report of Liver Cirrhosis with Diabetes Mellitus and Hepatic Encephalopathy
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Na Ran-Hee
Lee Jung-Wook
Han Deok-Jin
Bang Chang-Ho
Gang Seak-Oh
Choi Ji-Hye
Kim Kang-San
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Abstract
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The liver is one of the principal organs involved in glucose metabolism. Diabetes mellitus(DM) commonly develops in patients with liver cirrhosis as a result of hepatocyte dysfunction. Hepatic encephalopathy(HE) is a major neuropsychiatric complication of liver cirrhosis. HE develops frequently in advanced stage of liver cirrhosis due to portal hypertension. We experienced a case of liver cirrhosis with DM and HE in 67 years old male patient. The patient’s symptoms were lethargy, general malaise, asterixis, dizziness, and heavy headedness. Hwangryunjihwang-tang, Saengkankunbi-tang, Injinchija-tang and Injinho-tang were prescribed to the patient. Finally, the symptoms had been improved, however significant change was not observed from serum ammonia, fasting blood sugar and postparandial blood sugar. So we hope that this case report will be helpful in treating patient of liver cirrhosis.
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KEYWORD
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liver cirrhosis, diabetes mellitus, hepatic encephalopathy
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