Fatty Liver Side Effect of Prednisone
Fatty liver is a nonpermanent, or reversible, condition involving the accumulation of triglycerides -- a fat molecule -- inside cells of the liver by a process called steatosis. As fats accumulate in the cell, they displace vital cell structures and eventually distort the shape of the nucleus. According to the California Pacific Medical Center, the use of prednisone -- a steroid medication -- may result in the development of fatty liver 1. Consult a physician before taking prednisone.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Types of Fatty Liver
Alcoholic and nonalcoholic comprise the two main types of fatty liver. This differentiation between alcoholic and nonalcoholic is rather appropriate, since alcohol is a major cause of fatty liver and other causes are less frequent. Regardless of cause, biopsy of the liver -- a process of acquiring a liver tissue sample -- reveals largely similar architectural deformities in the liver, but with slight differences unique to alcohol.
Uses of Prednisone
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Prednisone is just one of several steriod medications. You can ingest it alone or in combination with other medications. When naturally made corticosteriods are depleted or decreased in your body, prednisone can be ingested to elevate bodily corticosteroid levels. Corticosteroids are important for the synthesis of certain hormones, such as aldosterone -- used for the regulation of salt, blood volume and pressure -- and cortisol, a hormone that helps you cope with stress. Prednisone is used in treating inflammatory diseases, such as:
- Crohn's disease
- multiple sclerosis
- arthritis
- lupus
- severe allergic reactions
- Prednisone is just one of several steriod medications.
- When naturally made corticosteriods are depleted or decreased in your body, prednisone can be ingested to elevate bodily corticosteroid levels.
Side Effects of Prednisone
Prednisone has many side effects, some more serious than others. Regardless, when experiencing side effects likely related to prednisone, notify a physician as soon as possible. Other potentially serious effects include:
- changes in vision
- confusion
- numbness in certain areas of the body
- vomiting
- irregular heartbeat
- difficulty with breathing
Avoiding Complications
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Since fatty liver is a possible side effect of prednisone use, your liver function must be monitored while taking prednisone. Liver function tests (LFTs) involve the testing of blood for certain markers that may indicate liver dysfunction. Prednisone must be strictly administered at recommended doses. Doses that exceed recommendations are associated with the increased likelihood for developing side effects. Prolonged intake of high doses of prednisone may compromise the immune system and increase the likelihood for opportunistic infections, such as HIV. According to the U.S. National Library of Medicine, rare cases of high-dose prednisone use have resulted in the development of Kaposi's sarcoma, a type of cancer that only occurs if a person has a very weak immune system.
- Since fatty liver is a possible side effect of prednisone use, your liver function must be monitored while taking prednisone.
Related Articles
References
- California Pacific Medical Center: Fatty Liver
- "Harrison's Principles of Internal Medicine"; Dennis L. Kasper M.D., et al.; 2005
- Centers for Disease Control and Prevention. Rheumatoid Arthritis (RA). Updated March 5, 2019.
- Mayo Clinic. Prednisone (oral route). Updated July 1, 2020.
- U.S. National Library of Medicine: MedlinePlus. Prednisone. Updated May 15, 2020.
- Bandoli G, Palmsten K, Forbess Smith CJ, Chambers CD. A Review of Systemic Corticosteroid Use in Pregnancy and the Risk of Select Pregnancy and Birth Outcomes. Rheum Dis Clin North Am. 2017;43(3):489-502. doi:10.1016/j.rdc.2017.04.013
- U.S. Food and Drug Administration. Highlights of Prescribing Information: Rayos (prednisone). Updated July 2012.
- Li P, Zheng Y, Chen X. Drugs for Autoimmune Inflammatory Diseases: From Small Molecule Compounds to Anti-TNF Biologics. Front Pharmacol. 2017;8:460. doi:10.3389/fphar.2017.00460
- American Academy of Family Physicians. How to Stop Steroid Medicines Safely. Updated February 8, 2018.
Writer Bio
Chizorom Ebisike is a physician who has worked in both clinical research and medical writing since 2009. She has published articles on the respiratory system and nutrition. She has earned a Doctor of Medicine from University of Medicine and a Bachelor of Arts in nutritional sciences from Rutgers University.