Gout & crystal arthritis

Increased frequency of hepatic steatosis and fibrosis in patients with gout detected by transient elastography

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

Despite not being associated with common gout comorbidities, fatty liver and liver fibrosis were common in this gout cohort

Study context

Population
Consecutive gout patients undergoing transient elastography (FibroScan) at a single centre, 11/1/2016 to 11/1/2021 (mean age 59.8 years; mean body mass index (BMI) 30.95 kg/m²)7 females · 40 males
Participants
47 patients
Outcome
Non-alcoholic fatty liver disease (NAFLD) assessed by transient elastography: hepatic steatosis (CAP >238 dB/m) and fibrosis (E score >7)
Methodological detailssingle-centre, consecutive patients
  • Single-centre
  • Consecutive patients

Main finding

As reported in the abstract

Hepatic steatosis (controlled attenuation parameter (CAP) >238 dB/m)

40

85.1%

Fibrosis (E score >7)

9

19.1%

Severe fibrosis (cirrhosis)

8

Observational data: associations, not effects.

Further findings

Associations of steatosis

Steatosis associated with BMI
r=0.53, p=0.0001
Steatosis not associated with age, serum urate (SU), glucose, triglycerides, ALT, AST

Associations of fibrosis

Fibrosis associated with age
P = 0.03
Fibrosis associated with known liver disease
P = 0.003
Fibrosis not associated with BMI, SU or comorbidities

FIB-4 score vs fibrosis score

FIB-4 associated with fibrosis score
r2=0.24, p=0.0009
FIB-4 not associated with CAP, ALT or AST

Original publication

Increased frequency of hepatic steatosis and fibrosis in patients with gout detected by transient elastography. Clin Exp Rheumatol. Published 3 May 2023. doi:10.55563/clinexprheumatol/am70uf

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.