Diagnostic challenges of nonalcoholic fatty liver disease (NAFLD) in children of normal weight - 14/06/11
Corresponding author. Tel.: +1 416 813 6171; fax: +1 416 813 4972.Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
| pages | 6 |
| Iconographies | 1 |
| Vidéos | 0 |
| Autres | 0 |
Summary |
Background |
Nonalcoholic fatty liver disease (NAFLD) is generally regarded as affecting the overweight or obese. Though previously reported, the notion that NAFLD occurs in the presence of normal body weight (adult BMI<25) is unfamiliar in adults and problematic in children. Normal-body-weight NAFLD accounts for approximately 15% of all NAFLD and may be more prevalent with certain ethnicities.
Case |
We describe a case of a child who appeared to have normal-body-weight NAFLD, on the basis of typical age of presentation, ultrasonographically evident hepatic steatosis and compatible liver histology, including a NAFLD activity score of 7, but was shown conclusively to have cystic fibrosis. Further we present a clinical strategy for diagnosis of childhood NAFLD, which would discriminate between this patient and actual normal-body-weight NAFLD children in our clinical practice.
Conclusion |
NAFLD requires affirmative diagnostic criteria and should not be merely a diagnosis of exclusion.
Le texte complet de cet article est disponible en PDF.Plan
Vol 35 - N° 6-7
P. 500-505 - juin 2011 Retour au numéro
Article précédent
- Efficacy of a simethicone, activated charcoal and magnesium oxide combination (Carbosymag®) in functional dyspepsia: Results of a general practice-based randomized trial
- Benoit Coffin, Claude Bortolloti, Odile Bourgeois, Luc Denicourt
- Vaccination coverage against hepatitis B and prevalence of HBsAg: A cross-sectional study involving 592 persons attending public screening in Abidjan
- C. Assi, A. Ouattara, E. Allah Kouadio, M. Diakite, S. Koné, M.J. Lohoues Kouacou, B.M. Camara
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?