Aim & Objective: Prolonged areca-nut chewing, apart from causing
oral submucous fibrosis, has also been reported to cause various systemic ill
effects including fibrosis of visceral organs like liver, pancreas and gall
bladder. Other than animal studies, such evidences have also been obtained from
population based observational studies. To gain further insight, this study was
conducted to test a hypothesis that prolonged areca-nut chewing may lead to
liver fibrosis. Material and Method: Thirteen prolonged areca nut chewers with
OSMF (Study group-1), eight prolonged areca-nut chewers without OSMF (Study
Group-2) and five healthy individuals without deleterious habits (Control
Group) were subjected to ultrasonographic study of abdomen. Result: 19% of
total study subjects and none in control showed fibrotic changes in liver. Out
of which 75% were OSMF patients and 25% were areca nut chewers without OSMF.
Conclusion: Ill effects of areca nut chewing may be evident in liver even
before it involves the oral mucosa without the effect of other risk factors. -
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