Leberenzymerhöhung und metabolisches Risiko – Fall 7/2011
K Dudziak, J Machann, F Schick, C D Claussen, M Wehrmann, H -U Häring, A Fritsche, N Stefan, K Müssig · DMW - Deutsche Medizinische Wochenschrift · 2011 · Heft 28/29 · S. 1476
Bibliografische Angaben
Zusammenfassung
Abstract HISTORY AND ADMISSION FINDINGS: A 33-year-old patient with increased risk for type 2 diabetes (visceral adiposity and family predisposition) presented for participation in a life-style intervention program. INVESTIGATIONS: Laboratory showed elevated liver enzymes. Magnetic resonance spectroscopy revealed increased liver fat content. DIAGNOSIS, TREATMENT AND COURSE: In light of the increased type 2 diabetes risk and the existing steatosis, a life-style intervention was initiated which comprised a calorie-reduced, fat-modified, fibre-rich diet and regular aerobic physical activity. Subsequently, the patie…