Table 2.
Glycogenic Hepatopathy | Non-Alcoholic Fatty Liver Disease | |
---|---|---|
Age at onset | Mostly children and adolescents | Mostly Adults |
Uncontrolled T1D with extremely poor glucose control | Yes | Not necessarily |
Symptoms | Present (abdominal discomfort) | Uncommon |
Signs | Tender hepatomegaly | Ascites in advanced NAFLD |
Liver Enzymes | Mild to severe elevation | No or mild elevation (mostly alanine transaminase) |
Ultrasonography findings | Hyperechogenic: due to glycogen deposition | Hyperechogenic: due to fat deposition |
Magnetic Resonance Imaging findings | Absence of steatosis (no difference in intensities) | Presence of steatosis (difference in intensities) |
Diagnosis: Gold Standard | Histology (liver biopsy) | Histology (liver biopsy) |
T1D, type 1 diabetes.