From the Journals

Zinc: Missing Link in HE Management?

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7 Key Takeaways
  • 1

    Lower serum zinc levels were associated with higher grades of encephalopathy and more advanced cirrhosis.

  • 2

    Zinc deficiency may serve as a marker for disease progression and a potential therapeutic target.

  • 3

    Chronic alcoholism was identified as the leading cause of cirrhosis in the study.

  • 4

    Zinc level screening was recommended for all cirrhotic patients with hepatic encephalopathy.

  • 5

    The mortality rate in the study was 14% with higher mortality observed in patients with more severe grades of hepatic encephalopathy.

  • 6

    Patients with zinc deficiency had markedly lower mean serum zinc levels compared to survivors.

  • 7

    Clinical presentations varied widely, with abdominal distension, pedal edema, and icterus being the most common symptoms.

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