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The severity of steatosis was similar to other reports. Also, the majority of patients had portal inflammation. The findings on liver biopsy were not correlated to liver enzymes, thus the online increase in liver enzymes does not seem a good estimate of the severity of liver disease. NASH can cause fibrosis and online progress to online cirrhosis. It has been shown that this progress is seen in 8–26% of patients [6,8,9,19]. Hepatic fibrosis, Mallory hyaline, or ballooning degeneration are findings that indicate higher likelihood of progression to cirrhosis [39]. Altogether, these findings further underscore the importance of NASH and the need to diagnose it before it causes irreversible liver damage. Conclusion The epidemiology and risk factors of nonalcoholic steatohepatitis might be different in societies with lower rate of alcohol consumption, although this is just a preliminary hypothesis that should be evaluated in further studies.
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