Lymphoma Forum - Fatty infiltration of liver and pancreas

Fatty liver (steatosis hepatitis) is a reversible condition where large vacuoles of triglyceride fat are accumulated in liver cells. Despite having multiple causes, fatty liver disease (FLD) can be considered a single disease that occurs worldwide in those with excessive alcohol intake and those who are obese. The condition is also associated with other diseases that influence fat metabolism. Morphologically, it is difficult to distinguish alcoholic FLD from non alcoholic FLD.

Fatty liver is commonly associated with alcohol or metabolic syndrome (diabetes, hypertension and dyslipidemia) but can also be due to any one of many causes like:
1. Metabolic (Abetalipoproteinemia, glycogen storage diseases, Weber-Christian disease, Wolman disease, acute fatty liver of pregnancy, lipodystrophy);
2. Nutritional (Malnutrition, total parenteral nutrition, severe weight loss, refeeding syndrome, jejuno-ileal bypass, gastric bypass, jejunal diverticulosis with bacterial overgrowth);
3. Drugs and toxins (Amiodarone, methotrexate, diltiazem, highly active antiretroviral therapy, glucocorticoids, tamoxifen, environmental hepatotoxins (e.g. phosphorus, toxic mushroom), and
4. Other (Inflammatory bowel disease, HIV).

You need several blood laboratory tests to find out the reason for your fatty liver: blood count, sedimentation, hemoglobin, liver status (ALT, AST, gama-GT, bilirubin, fibrinogen, blood proteins…), urea, creatinin, lipid status (HDL, LDL, triglycerides), HBs-Ag…
Fats in the pancreas are not accumulated in the pancreas’s cells (like in liver) but pancreas contains its own fat tissue.
You may want to consult an internist about this.

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