Question

A 58-year-old with NAFLD risk factors (T2DM, BMI 33) has ALT 54 U/L. Which initial noninvasive risk stratification step is recommended?

Accepted Answer

Order FIB-4 and if >=1.3, obtain elastography or ELF test

Answer

Immediate liver biopsy

Answer

Start statin and recheck LFTs in 12 months

Answer

Test for AMA and ASMA to rule out autoimmune hepatitis

Answer

Start vitamin E empirically

Practice question

A 58-year-old with NAFLD risk factors (T2DM, BMI 33) has ALT 54 U/L. Which initial noninvasive risk stratification step is recommended?