title: Liver Illness and Psychiatric Patients.
abstract: Patients with psychiatric disorders are usually more exposed to multiple somatic illnesses, including liver diseases. Specific links are established between psychiatric disorders and alcohol hepatitis, hepatitis B, and hepatitis C in the population as a whole, and specifically in drug abusers. Metabolic syndrome criteria, and associated steatosis or non-alcoholic steato-hepatitis (NASH) are frequent in patients with chronic psychiatric disorders under psychotropic drugs, and should be screened. Some psychiatric medications, such as neuroleptics, mood stabilizers, and a few antidepressants, are often associated with drug-induced liver injury (DILI). In patients with advanced chronic liver diseases, the prescription of some specific psychiatric treatments should be avoided. Psychiatric disorders can be a limiting factor in the decision-making and following up for liver transplantation.
authors.affiliation: Service D'hépato-Gastroentérologie, CHU Limoges, 87042 Limoges Cédex, France; INSERM, U850, F-87000 Limoges, Univ Limoges, France.
authors.forename: Paul
authors.initials: P
authors.lastname: Carrier
authors.affiliation: Service D'hépato-Gastroentérologie, CHU Limoges, 87042 Limoges Cédex, France; INSERM, U850, F-87000 Limoges, Univ Limoges, France.
authors.forename: Marilyne
authors.initials: M
authors.lastname: Debette-Gratien
authors.affiliation: Unité D'investigation Clinique, Centre Hospitalier Spécialisé Esquirol, 87042 Limoges, France.
authors.forename: Murielle
authors.initials: M
authors.lastname: Girard
authors.affiliation: Service D'hépato-Gastroentérologie, CHU Limoges, 87042 Limoges Cédex, France.
authors.forename: Jérémie
authors.initials: J
authors.lastname: Jacques
authors.affiliation: Pôle D'addictologie, Centre Hospitalier Spécialisé Esquirol, 87042 Limoges, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Nubukpo
authors.affiliation: Service D'hépato-Gastroentérologie, CHU Limoges, 87042 Limoges Cédex, France; INSERM, U850, F-87000 Limoges, Univ Limoges, France.
authors.forename: Véronique
authors.initials: V
authors.lastname: Loustaud-Ratti
keywords: Hepatotoxicity; Mental Disorders; Non-Alcoholic Fatty Liver Disease; Viral Hepatitis