A 45-year-old man with obesity and metabolic syndrome is found to have elevated liver enzymes (ALT 95 U/L, AST 60 U/L) and ultrasound evidence of fatt...

Question

A 45-year-old man with obesity and metabolic syndrome is found to have elevated liver enzymes (ALT 95 U/L, AST 60 U/L) and ultrasound evidence of fatty infiltration without other abnormalities. Viral hepatitis serology is negative and he drinks minimal alcohol. What is the most appropriate first-line management?

Accepted Answer

Recommend weight loss through diet and exercise and address metabolic risk factors

Answer

Start long-term corticosteroids

Answer

Commence empirical antiviral therapy

Answer

Refer immediately for liver transplantation assessment

Answer

No intervention is required for non-alcoholic fatty liver disease

au-amc MCQ (SBA): Non-alcoholic fatty liver disease