ARTICLE: PDF OnlyFatty Liver Hepatitis and Type 5 Hyperlipoproteinemia in Juvenile Diabetes Mellitus Case Report and Review of the LiteratureLenaerts, Jan M.D.; Verresen, Luc M.D.; Steenbergen, Werner Van M.D., Ph.D.; Fevery, Johan M.D., Ph.D. Author Information From the Department of Medicine and Hepatology, University Hospital Gasthuisberg, Leuven, Belgium. Journal of Clinical Gastroenterology: February 1990 - Volume 12 - Issue 1 - p 93-97 Buy Abstract A 28-year-old man with poorly controlled juvenile-onset diabetes mellitus presented with jaundice and type 5 hyperlipoproteinemia. A liver biopsy showed fatty liver hepatitis (steatonecrosis). This case represents one end in a spectrum of lipid disorders and liver disease in diabetes mellitus. With increasing insulin deficiency, liver steatosis and the more common type 4 hyperlipoproteinemia pattern may progress to fatty liver hepatitis and type 5 hyperlipoproteinemia. © Lippincott-Raven Publishers.