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Mild jaundice can sometimes be noticed. NASH is associated with metabolic syndrome X, diabetes mellitus (type II) and insulin resistance. [edit] Laboratory, imaging and diagnosis Disturbed liver enzymes are common. Other tests generally performed are other blood tests (erythrocyte sedimentation rate, glucose, albumin, renal function etc.) As the liver is important in coagulation, some coagulation electronic studies will generally be done. To distinguish this disease from viral hepatitis, blood tests electronic (serology) are generally done (hepatitis A, B, C, EBV, CMV and herpes viruses, as well as rubella) to ensure these are not playing a electronic role. TSH is warranted, as hypothyroidism is more prevalent in NASH patients [1]. Liver ultrasound is often done to distinguish the disease from gallstone problems (cholelithiasis). Usually, a liver biopsy will have to be done to distinguish NASH from other causes of hepatitis.
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