Symptoms of metabolic liver disease will vary based on the type of disease, but may include: Bruising easily Confusion Fatigue Jaundice (yellowing of the skin and eyes) Pain or swelling in the upper right abdomen How is Pediatric Metabolic Liver Disease [childrens.com]

Its clinical presentation shows a varied picture of hepatic, neurologic or psychiatric symptoms, which might occur predominately or present jointly [ 5 ]. [academic.oup.com]

On examination, height was 67 cms, weight was 7.5 kg with large hepatomegaly and drowsiness without focal neurological deficit. [pediatriconcall.com]

On examination patient was malnourished with a BMI of 12, with rachitic features ( Figure 1A ), protuberant abdomen with hepatosplenomegaly, renomegaly, and motor weakness. [tropicalgastro.com]

Extrahepatic manifestations include Kayser-Fleischer rings in the Descemet membrane in the periphery of the cornea due to copper deposition (diagnosed on slit-lamp examination), Coombs-negative hemolytic anemia, renal tubular acidosis, arthritis, and [unboundmedicine.com]