Chronic inflammatory liver diseases

Dr. med. Thomas Brunk Gastroenterology Berlin

What are chronic inflammatory liver diseases?

Chronic inflammatory liver diseases (CILD) are diseases in which the liver is inflamed permanently or in episodes. The most common forms are hepatitis B and C, autoimmune hepatitis and fatty liver hepatitis. The causes of CILD are not yet fully understood, but genetic, immunological and environmental factors play a role.

What symptoms can occur?

The symptoms of CILD can vary depending on the type, extent and activity of the inflammation. Common symptoms include:

Tiredness or fatigue
Loss of appetite or nausea
Abdominal pain or cramps
Yellowing of the skin or eyes (jaundice)
Itching or skin rash
Bleeding or bruising

How is CILD diagnosed?

The diagnosis of CILD is based on a combination of medical history, physical examination, laboratory values, imaging techniques and liver biopsy. A small tissue sample is taken from the liver and examined under a microscope.

How is CILD treated?

The treatment of CILD aims to control the inflammation, prevent complications and improve quality of life. Treatment depends on the type, severity and course of the disease. Possible treatment options include

  • Drugs that suppress or modulate the immune system, such as cortisone, azathioprine or biologics
  • Drugs that fight the virus or inhibit inflammation,
  • Medication that alleviates the symptoms, such as painkillers or antihistamines
  • Nutritional therapy that promotes a balanced and individually adapted diet
  • Surgery that can remove parts of the liver in severe or complicated cases

I have been diagnosed with CILD, what happens now?

If you suffer from CILD or suspect that you have CILD, we can offer you comprehensive advice and sound diagnostics. Treatment is based on the latest scientific findings. A holistic approach to therapy is particularly important to us. We therefore work closely with specialists from other disciplines, such as dermatologists, rheumatologists, endocrinologists and ophthalmologists, to ensure the most comprehensive care possible.