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Year : 2019  |  Volume : 14  |  Issue : 4  |  Page : 315-319

Assessment of risk of liver fibrosis in areca nut habitual by ultrasound elastography

Department of Oral Medicine and Radiology, Sharad Pawar Dental College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

Correspondence Address:
Dr. Suwarna Dangore-Khasbage
Sharad Pawar Dental College, DMIMSU, Wardha, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jdmimsu.jdmimsu_227_19

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Purpose: The purpose of this study was to assess the risk of liver fibrosis in areca nut (AN) habitual by ultrasound elastography. Materials and Methods: This case–control study included sixty individuals, which were equally divided into four groups. Among these, 15 belonged to the control group, whereas 45 were chronic AN chewers either suffering from habit-induced oral disease or not suffering from habit-induced oral disease. All of them were assessed for oral health status by recording habit history and oral examination findings. Liver status was assessed by conventional ultrasonography and elastography. Results: Ultrasonography revealed the presence of liver fibrosis in 6 (10%) participants. Among these participants, 3 (50%) were suffering from oral submucous fibrosis (OSMF), 2 (33%) had OSMF with oral squamous cell carcinoma, and 2 (17%) were AN habitual only. On elastography, FibroScan values were observed to be higher in liver fibrosis-diagnosed participants though the difference between habitual and nonhabitual was not significant (NS) (P = 0.103, NS). Conclusion: On assessment of liver status, liver fibrosis was diagnosed in 10% AN habitual. This finding is alarming one and needs a specific concern as these habitual participants were totally asymptomatic and unaware of their liver status.

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