Fig. 4

Changes of body temperature, body weight and serum levels of alanine aminotransferase (ALT) and computer tomography (CT) images of the patient’s liver. a. His body temperature changed with the rise and fall of the ambient temperature, likely due to the impaired thermoregulatory center. b. His body weight and ALT level gradually became elevated, likely due to dysregulated appetite. c. The ratio of his liver-to-spleen (L/S) Hounsfield units on CT scan gradually declined (+ 1 month, 0.96; + 22 months, 0.42; and + 35 months, 0.37), likely due to worsening fatty liver [months after the initial hospitalization to our institution are shown as +X month(s)]