Non-alcoholic fatty liver disease later diagnosed as myotonic dystrophy

Table 1 Laboratory findings at the time of liver biopsy

Item	Value	Item	Value	Item	Value
WBC	4450 /μL	BUN	10 mg/dL	IgG	1512 mg/dL
RBC	544 × 104 /μL	Cr	0.8 mg/dL	IgA	235 mg/dL
Hb	17.0 g/dL	UA	7.2 mg/dL	IgM	131 mg/dL
Plt	19.9 × 104/μL	Na	146 mEq/L	ANA	(-)
		K	4.3 mEq/L	HBsAg	(-)
TP	7.4 g/dL	Cl	109 mEq/L	Anti-HCV	(-)
Alb	4.2 g/dL
T-Bil	0.5 mg/dL	T-Chol	257 mg/dL	TSH	2.1 μIU/mL
AST	74 U/L	TG	274 mg/dL	FT3	3.2 pg/mL
ALT	102 U/L	HDL-C	76 mg/dL	FT4	1.0 ng/dL
LDH	260 U/L
ALP	202 U/L	FBS	87 mg/dL	HA	27 ng/mL
GGT	121 U/L	HbA1c	5.0 %	4C7S	4.2 ng/mL
ChE	390 IU/L	Insulin	30 μU/mL
		HOMA-IR	6.4	Fe	91 μg/dL
				Ferritin	77 ng/mL
				Cu	89 μg/dL
				Ceruloplasmin	26 mg/dL

Bold underlined parameters indicate abnormally elevated values. WBC: White blood cell; RBC: Red blood cell; Hb: Hemoglobin; Plt: Platelet count; TP: Total protein; Alb: Albumin; T-Bil: Total bilirubin; AST: Aspartate aminotransferase; ALT: Alanine aminotransferase; LDH: Lactate dehydrogenase; ALP: Alkaline phosphatase; GGT: Gamma-glutamyl transferase; ChE: Choline esterase; BUN: Blood urea nitrogen; Cr: Creatinine; UA: Uric acid; T-Chol: Total cholesterol; TG: Triglycerides; HDL-C: High-density-lipoprotein cholesterol; Fe: Iron; FBS: Fasting blood sugar; HbA1c: Hemoglobin A1c; HOMA-IR: Homeostasis model assessment for insulin resistance; Ig: Immunoglobulin; ANA: Anti-nuclear antibody; HBsAg: Hepatitis B virus surface antigen; HCV: Hepatitis C virus; TSH: Thyroid stimulating hormone; FT3: Free triiodothyronine; FT4: Free thyroxine; HA: Hyaluronic acid; 4C7s: Type 4 collagen 7S.