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Causes and Risk Factors Alcohol, obesity, starvation, diabetes mellitus, corticosteroids, poisons (carbon tetrachloride and yellow phosphorus), Cushing's syndrome, and hyperlipidemia are some causes of fatty liver. Microvesicular fatty liver may be caused by valproic acid toxicity and high-dose tetracycline atherosclerosis or during pregnancy. Symptoms Patients are often asymptomatic. Diagnosis The patient may have an enlarged atherosclerosis liver or minor elevation atherosclerosis of liver enzyme tests. Several studies show that fatty liver is one of the most common causes of isolated minor elevation of liver enzymes found in routine blood screening. Images of the liver obtained by an ultrasound test, CT (computed tomography) scan, or MRI (magnetic resonance imaging) may suggest the presence of a fatty liver. To be certain whether a patient has fatty liver requires a liver biopsy, in which a small sample of liver tissue is obtained through the skin and analyzed under the microscope.
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