Non-Alcoholic Fatty Liver Disease (NAFLD) can occur in pediatric patients. A number of findings can help to identify a pediatric patient who should be screened for this disorder. A child with undiagnosed NAFLD may go on to develop cirrhosis and hepatocellular carcinoma.


Patient selection: pediatric patient <= 18 years of age


Findings that may identify a pediatric patient at risk for NAFLD:

(1) overweight or obese

(2) insulin resistance, hyperinsulemia or type 2 diabetes mellitus

(3) elevated serum lipids (cholesterol, triglycerides)

(4) hypertension

(5) persistent elevation of liver function tests (GGT, ALT, AST) for which there is no explanation


Additional groups at risk:

(1) male

(2) Hispanic


Afro-American children tend to have a lower risk.


To read more or access our algorithms and calculators, please log in or register.