A 55-year-old man with obesity, type 2 diabetes and mildly elevated ALT is found on ultrasound to have fatty liver without cirrhosis. Fibrosis scoring...

Question

A 55-year-old man with obesity, type 2 diabetes and mildly elevated ALT is found on ultrasound to have fatty liver without cirrhosis. Fibrosis scoring suggests indeterminate risk. What is the most appropriate next step in managing his non-alcoholic fatty liver disease (NAFLD)?

Accepted Answer

Optimise metabolic risk factors and consider referral for FibroScan

Answer

Start high-dose corticosteroids

Answer

Advise complete fasting for several days each month

Answer

Start long-term broad-spectrum antibiotics

Answer

Reassure that no follow-up is required

au-racp MCQ (SBA): NAFLD risk stratification

A 55-year-old man with obesity, type 2 diabetes and mildly elevated ALT is found on ultrasound to have fatty liver without cirrhosis. Fibrosis scoring suggests indeterminate risk. What is the most appropriate next step in managing his non-alcoholic fatty liver disease (NAFLD)?