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Review
. 2020 Jan;31(1):3-16.
doi: 10.5152/tjg.2019.19367.

Inborn errors of metabolism in the differential diagnosis of fatty liver disease

Affiliations
Review

Inborn errors of metabolism in the differential diagnosis of fatty liver disease

Yılmaz Yıldız et al. Turk J Gastroenterol. 2020 Jan.

Abstract

Nonalcoholic fatty liver disease (NAFLD) has become the most common chronic liver disease across all age groups. Obesity, diabetes, and metabolic syndrome, are the primary causes that are closely linked with the development of NAFLD. However, in young children, rare inborn errors of metabolism are predominant secondary causes of NAFLD. Furthermore, inborn errors of metabolism causing hepatosteatosis are often misdiagnosed as NAFLD in adolescents and adults. Many inborn errors of metabolism are treatable disorders and therefore require special consideration. This review aims to summarize the basic characteristics and diagnostic clues of inborn errors of metabolism associated with fatty liver disease. A suggested clinical and laboratory diagnostic approach is also discussed.

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Conflict of interest statement

Conflict of interest: The authors have no conflict of interest to declare.

Figures

Figure 1
Figure 1
Suggested diagnostic approach for IEMs in patients with fatty liver disease (2,5,10).

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References

    1. Rinella ME. Nonalcoholic fatty liver disease: a systematic review. JAMA. 2015;313:2263–73. doi: 10.1001/jama.2015.5370. - DOI - PubMed
    1. Vajro P, Lenta S, Socha P, et al. Diagnosis of nonalcoholic fatty liver disease in children and adolescents: position paper of the ESPGHAN Hepatology Committee. J Pediatr Gastroenterol Nutr. 2012;54:700–13. doi: 10.1097/MPG.0b013e318252a13f. - DOI - PubMed
    1. Goh GB, McCullough AJ. Natural History of Nonalcoholic Fatty Liver Disease. Dig Dis Sci. 2016;61:1226–33. doi: 10.1007/s10620-016-4095-4. - DOI - PMC - PubMed
    1. Schwimmer JB, Deutsch R, Kahen T, Lavine JE, Stanley C, Behling C. Prevalence of fatty liver in children and adolescents. Pediatrics. 2006;118:1388–93. doi: 10.1542/peds.2006-1212. - DOI - PubMed
    1. Chalasani N, Younossi Z, Lavine JE, et al. The diagnosis and management of non-alcoholic fatty liver disease: practice guideline by the American Gastroenterological Association, American Association for the Study of Liver Diseases, and American College of Gastroenterology. Gastroenterology. 2012;142:1592–609. doi: 10.1053/j.gastro.2012.04.001. - DOI - PubMed