A 25-year-old male is experiencing a right-sided subcostal tenderness and increasing fatigue for the last several months. He also noticed dark urine, jaundice, and lost 60 pounds. The patient was admitted for work-up and treatment of his undiagnosed condition. The inpatient team was concerned about a genetic disorder and referred the patient to the ophthalmology clinic for its confirmation. Patient history : A liver biopsy at age 14 was performed after he was found to have abnormal routine labs prior to a tonsillectomy, showed fatty, liver which was thought to be related to his weight.
He had no additional follow up. Past ocular history: None Medical History: The patient had a liver biopsy at age of 14 with a diagnosis of fatty liver. He also had a tonsillectomy at age 14. Medications : None Social History: The patient reports heavy alcohol use (more than one six-pack of beer per day…
