A prospective study of 21 patients with the diagnosis of non-alcoholic
steatohepatitis (NASH) was carried out. All patients had hepatomegaly
and in 10 (48%) image studies were consistent with steatosis and/or f
ibrosis. Biochemically, there was increase of AST, ALT and cholesterol
in 48%, of GGT in 52% and of alkaline phosphatase in 38%. 18 patients
were obese, 2 of them diabetic, 2 others had a history of exposure to
drugs (amiodarone and isopropilic alcohol) and the last one presented
hypothyroidism. Liver biopsies were studied using a semiquantitative
scale to evaluate the degree of steatosis, inflammation and fibrosis i
n a scale from 1 to 3. Results showed a medium score of 2.6 for steato
sis, 1.5 for inflammation and 1.8 for fibrosis. Four patients had cirr
hosis and Mallory bodies were found in 11 cases (52%). NASH is an olig
osymptomatic disease that can be found in different clinical condition
s, mainly obesity, and is more frequent in women. It is histologically
indistinguishable from alcoholic steatohepatitis. It is frequently un
derdiagnosed clinically and must be taken into account as a possible c
ause of cryptogenetic cirrhosis.