Muscle Cramps in Liver Disease

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Presentation transcript:

Muscle Cramps in Liver Disease Shivang S. Mehta, Michael B. Fallon Clinical Gastroenterology and Hepatology Volume 11, Issue 11, Pages 1385-1391 (November 2013) DOI: 10.1016/j.cgh.2013.03.017 Copyright © 2013 AGA Institute Terms and Conditions

Figure 1 Potential mechanisms and treatments of muscle cramps in cirrhosis. AAA, aromatic amino acid; BCAA, branched-chain amino acid. Clinical Gastroenterology and Hepatology 2013 11, 1385-1391DOI: (10.1016/j.cgh.2013.03.017) Copyright © 2013 AGA Institute Terms and Conditions

Figure 2 Approach to the cirrhotic patient with cramps. CK, creatinine kinase; CRP, C-reactive protein; CQ, cramp questionnaire; EMG, electromyogram; ESR, erythrocyte sedimentation rate. Clinical Gastroenterology and Hepatology 2013 11, 1385-1391DOI: (10.1016/j.cgh.2013.03.017) Copyright © 2013 AGA Institute Terms and Conditions

Figure 3 Cramp Questionnaire. Clinically significant cramp (frequency of cramps/week × severity of cramps) >12. Reprinted with permission from Society of Pediatric Nurses and Pediatric Endocrinology Nursing Society.11 Clinical Gastroenterology and Hepatology 2013 11, 1385-1391DOI: (10.1016/j.cgh.2013.03.017) Copyright © 2013 AGA Institute Terms and Conditions