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Have any peer-reviewed studies (2020-2025) linked Burn Peak to liver injury?

Checked on November 16, 2025
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Executive summary

Multiple peer‑reviewed studies from 2020–2025 discuss liver involvement after burn injury but do not use a coined term "Burn Peak" in the provided materials; instead they report peaks in liver enzyme elevations or liver size typically within the first two weeks post‑burn (for example, serum AST/ALT peaking in the first week and liver size peaking at ~2 weeks) [1] [2]. Animal and human studies across the period link burns to hepatic inflammation, necroptosis, ER stress and altered metabolism—evidence of burn‑related liver injury rather than a discrete entity named "Burn Peak" [3] [4] [1].

1. What the literature actually measures: “peaks” in enzymes and size, not a term called “Burn Peak”

Clinical and experimental studies report temporal peaks in liver biomarkers and organ size after severe thermal injury — for example, serum transaminases described as peaking during the first week post‑burn and liver enlargement peaking around two weeks — but the sources call these findings enzyme peaks or hepatomegaly, not a defined syndrome called “Burn Peak” [1] [2] [5].

2. Peer‑reviewed human studies (2020–2025) showing burn‑linked liver injury

Recent peer‑reviewed work within the interval frames liver dysfunction as a common systemic consequence of major burns. Communications Biology [6] summarizes clinical evidence that serum AST and ALT peak early after burns and links elevated transaminases to worse survival [1]. A 2025 Scientific Reports retrospective study focuses on chronic liver injury scores and outcomes in burn patients with alcohol exposure, illustrating ongoing interest in liver status as a prognostic factor in burns [7]. These are examples of peer‑reviewed studies connecting burns and liver injury or prognostic relevance, though not using the phrase “Burn Peak” [1] [7].

3. Experimental and mechanistic studies confirm liver damage after burns

Animal and molecular studies in peer‑reviewed journals document mechanisms of hepatic injury post‑burn: necroptotic cell death and inflammation (mouse model) and ER stress leading to hepatocyte apoptosis (mouse and rat models) are explicitly reported by authors as contributors to early hepatic damage after thermal injury [3] [4]. These mechanistic papers support the clinical observations of transient enzyme rises and histologic injury after burns.

4. Larger retrospective and prospective cohort signals: size, dysfunction, prognosis

Population and cohort analyses show liver impairment worsens outcomes in burn patients. A national sample and linked analyses conclude preexisting liver disease raises mortality and length of stay among burn victims (earlier work summarized in reviews) and cohort studies report increased liver size and impaired protein synthesis persisting months after severe burns [8] [2]. Dynamic tests (indocyanine green clearance) and serum markers have been used to quantify the incidence and timing of dysfunction, with some studies reporting early (<2 weeks) dysfunction and variable incidence depending on burn severity [9] [2].

5. What’s missing in the provided reporting: the specific phrase “Burn Peak”

Available sources do not mention a standardized clinical entity named “Burn Peak.” The literature uses terms like “peak of liver enzymes,” “hepatomegaly peaking at 2 weeks,” or mechanistic descriptors (necroptosis, ER stress) to characterize timing and processes of hepatic injury after burn injury [1] [2] [3] [4]. If you mean a particular branded or novel term circulating clinically or on social media, available sources do not mention it.

6. Conflicting or limited evidence and interpretive cautions

Reports vary on incidence and timing of meaningful liver failure after burns: some cohorts find relatively low early hepatic dysfunction rates in certain groups, while others report substantial incidence of liver failure in lethal burns with onset around the second week [9]. Many mechanistic insights come from animal models or small cohorts, so extrapolation to broader clinical practice requires caution [3] [4]. The 2025 Scientific Reports paper narrows focus to alcohol‑related burns and chronic liver indices, illustrating that comorbid liver disease or intoxication confounds outcomes [7].

7. Practical takeaway for clinicians, patients, and reporters

The peer‑reviewed record from 2020–2025 supports that severe burn injury commonly affects the liver — with early transaminase rises, hepatomegaly peaking ~2 weeks, and mechanistic pathways (inflammation, necroptosis, ER stress) documented — but there is no evidence in these sources of a distinct, widely recognized diagnostic entity named “Burn Peak” [1] [2] [3] [4]. For clear communication, use established descriptors (peak enzyme levels, hepatomegaly timing, hepatic dysfunction) and note preexisting liver disease or alcohol use as important modifiers of outcome [7] [8].

If you want, I can (a) run a finer search for the exact phrase “Burn Peak” in clinical registries and social/gray literature (if you provide results), or (b) extract specific timing and numeric values for enzyme peaks and liver size from the cited studies above.

Want to dive deeper?
Which peer-reviewed studies (2020–2025) have investigated Burn Pit exposure and liver injury in veterans?
What biomarkers or clinical signs link burn pit exposure to liver inflammation or fibrosis?
How do studies control for confounders (alcohol, hepatitis, medications) when assessing burn pit–related liver disease?
Have cohort studies or registries (e.g., VA Airborne Hazards and Open Burn Pit Registry) reported elevated liver disease incidence after 2020?
What mechanisms have recent studies proposed for how inhaled particulate matter from burn pits could cause liver injury?