Case Study: NAFLD as A Cardiovascular Risk Factor | ||
| Egyptian Society of Diabetes and Lipidology Journal | ||
| Volume 1, Issue 1, October 2021 PDF (160.24 K) | ||
| Document Type: Case Report | ||
| DOI: 10.21608/esdlj.2021.455588 | ||
| Abstract | ||
| A 48 years male obese patient complaining of generalized weakness, chronic fatigue, and right hypochondrial dull aching pain. His BMI is 31Kg/m2, WC is 112cm, and the hepatic transaminases are elevated more than three times upper normal level. He had a past history of hypertension and dyslipidemia (hypertriglyceridemia, low HDL-C). No history of alcoholic intake and had a negative viral marker. Ultra-sonography revealed increased echogenicity, Elastography study suggested fatty liver, significant fibrosis and liver biopsy shew steatosis, hepatocyte ballooning and lobular inflammation (components of NASH). He received treatment for these risk factors, but after 4years he suffered from typical anginal chest pain and accidently discovered diabetes mellitus. He was admitted in CCU for urgent PCI, stented in the left anterior coronary artery and discharged on cardiological and antidiabetic medications. | ||
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