We do see many cases of abnormal liver functions and some of them get labeled as having NASH rightly or wrongly. I have a patient who is obese with Metabolic syndrome and abnormal LFT. I concluded it was NASH without considering other options. Realised bit later she also has auto immune Tyroid disease and had to investigate her for Auto immune hepatitis. This is a recent review that discuss pathogenesis and management of NASH.
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