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© Research
Publication : La Revue de medecine interne

[Alcoholic hepatitis]

Scientific Fields
Diseases
Organisms
Applications
Technique

Published in La Revue de medecine interne - 15 Mar 2012

Trabut JB, Thépot V, Sogni P, Pol S

Link to Pubmed [PMID] – 22425133

Rev Med Interne 2012 Jun;33(6):311-7

Alcoholic hepatitis is one of the most severe presentations of alcoholic liver disease. It is usually revealed by the recent onset of jaundice in a patient with alcoholic cirrhosis. Maddrey’s discriminant function can help to recognize patients with poor prognosis (the 6-month mortality is above 50% when it exceeds 32). Corticosteroids increase survival in those patients with high risk of death. Other treatments (pentoxifylline, N-acetyl-cysteine or enteral nutrition) need to be investigated further before to recommend their routine use instead of, or in association with, corticoids. Liver transplantation can be proposed to highly selected patients who do not respond to medical therapy. In any case, long-term prognosis will primarily depend on the maintenance of alcohol abstinence.

https://www.ncbi.nlm.nih.gov/pubmed/22425133