A spectrum of fatty liver diseases ranging from nonalcoholic fatty liver (NAFL), to nonalcoholic steatohepatitis (NASH), to fibrosis and cirrhosis, not due to other cause of fatty infiltration ...
Routine screening not recommended because of lack of effective drug treatment and unclear long-term benefits of screening (2)
Consider NAFLD in patients with asymptomatic aminotransferase el...
Weight loss for those who are overweight or obe...
Annual monitoring of LFTs (1)
Surveillance with US or CT to evaluate for disease progression every 2-4 years, or sooner if increasing metabolic risk factors.
Routi...
Alcohol Use Disorder (AUD); Cirrhosis of the Liver; Diabetes Mellitus, Type 2; Metabolic Syndrome
Algorithm: Weight Loss, Treatment
NAFLD is a major cause of liver disease, and is increasing every year with increasing rates of overweight and obesity.
Spectrum ranges from NAFL to NASH, advanced fibrosis, and cirrhosi...
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Homeless diabetic man with painful foot showing gangrene and dystrophic nails
Necrobiosis lipoidica diabeticorum. Atrophic patch present x 6 mo.
Chronic hepatitis with cirrhosis. A photomicrograph of the liver from a patient with long-standing chronic active hepatitis B shows hepatocellular nodules and chronically inflamed fibrous septa.
Chronic hepatitis with cirrhosis. A photomicrograph of the liver from a patient with long-standing chronic active hepatitis B shows hepato...
Microvesicular fatty liver. A liver biopsy specimen in a case of Reye syndrome shows small droplet fat in hepatocytes and centrally located nuclei.
Microvesicular fatty liver. A liver biopsy specimen in a case of Reye syndrome shows small droplet fat in hepatocytes and centrally locate...
Alcoholic cirrhosis. The surface of the liver displays innumerable small, regular nodules.
Alcoholic cirrhosis. A photomicrograph shows small regular nodules surrounded by uniform fibrous septa.
Cirrhosis of the liver. The consequence of chronic hepatic injury is the formation of regenerating nodules separated by bands of fibrous connective tissue (blue).
Cirrhosis of the liver. The consequence of chronic hepatic injury is the formation of regenerating nodules separated by bands of fibrous co...