Letter to the Editor
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 16, 2025; 13(29): 110771
Published online Oct 16, 2025. doi: 10.12998/wjcc.v13.i29.110771
Heterogeneous outcomes in metabolic dysfunction–associated steatotic liver disease/steatohepatitis with type 2 diabetes: Rethinking risk and management approaches
Ze-Xu Zheng, Shu-Min Huang
Ze-Xu Zheng, Shu-Min Huang, Fujian University of Traditional Chinese Medicine Affiliated Second People’s Hospital, Fuzhou 35001, Fujian Province, China
Author contributions: Zheng ZX and Huang SM were responsible for the design of the study, writing the manuscript, revising the manuscript, and approving the final version; Zheng ZX and Huang SM agree to be accountable for all aspects of the work.
Conflict-of-interest statement: All author declares no relevant conflicts of interest related to this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shu-Min Huang, MD, Fujian University of Traditional Chinese Medicine Affiliated Second People’s Hospital, No. 282 Gulou District, Fuzhou 35001, Fujian Province, China. 410292712@qq.com
Received: June 16, 2025
Revised: June 30, 2025
Accepted: August 5, 2025
Published online: October 16, 2025
Processing time: 75 Days and 5.7 Hours
Core Tip

Core Tip: The authors not only delineate, with granular precision, the clinical trajectories of Hispanic and non-Hispanic patients across the United States and the Gulf Coast of Texas, but also furnish a rigorous quantification of metabolic dysfunction–associated steatotic liver disease/steatohepatitis (MASLD/MASH) -related event rates. Their synthesis provides an invaluable scaffold for early risk stratification and the refinement of therapeutic and surveillance algorithms. This work underscores the imperative of nuanced appraisal of MASLD/MASH outcomes and bespoke management strategies, interrogating regional heterogeneity in disease burden, the merits of integrated metabolic care, and the potential of lifestyle modification to mitigate complications and enhance prognosis.