Kazem
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the fatty change in the kwashiorkor patients is brought about by a mechanism that is different to that of an alcoholic patient. please discuss.
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| MLF
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In kwashiorkor you lose proteins, hence the liver is incapable of making apolipoproteins which are needed for transportation of the lipids, and so they accumulate causing a fatty liver.
In alcohol, the NADH/NAD ratio is increased, and incrase NADH means more fat synthesis, and away from glycolosis.
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| Kazem
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Bull's eye
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