Alcoholic hepatitis corticosteroids

Q. Is alcoholism very much related to cirrhosis? I have heard that people who drink a lot get cirrhosis….is alcoholism very much related to cirrhosis? A. HELLO ROHAN,YES alcoholism is related to CIRRHOSIS OF THE cancer developes in about one in five sufferers of alcohol consumption increases the risk of cancers of the mouth,tongue,pharynx(back of the throat),larynx(voice box),and esophagus,---liver disease caused by a high alcohol consumption include (fatty liver)-(alcoholic hepatitis)(cirrhosis)and liver causes nervous system disorders,(confusion)(disturbance of speech)(weakness in the legs)(psychosis).the heart is affected by reducing pumping efficiency,usually combined with edema(fluid collection in the tissues.---mrfoot56

The prognosis for people with ALD depends on the liver histology as well as cofactors, such as concomitant chronic viral hepatitis. Among patients with alcoholic hepatitis, progression to liver cirrhosis occurs at 10–20% per year, and 70% will eventually develop cirrhosis. Despite cessation of alcohol use, only 10% will have normalization of histology and serum liver enzyme levels. [21] As previously noted, the MDF has been used to predict short-term mortality (., MDF ≥ 32 associated with spontaneous survival of 50–65% without corticosteroid therapy, and MDF < 32 associated with spontaneous survival of 90%).The Model for End-Stage Liver Disease (MELD) score has also been found to have similar predictive accuracy in 30day (MELD > 11) and 90-day (MELD > 21) mortality. Liver cirrhosis develops in 6–14% of those who consume more than 60–80 g of alcohol daily for men and more than 20 g daily for women. Even in those who drink more than 120 g daily, only % will suffer serious alcohol-related liver injury. Nevertheless, alcohol-related mortality was the third leading cause of death in 2003 in the United States. Worldwide mortality is estimated to be 150,000 per year. [22]

Obtaining an accurate history of alcohol use from a patient with suspected alcoholic hepatitis may be difficult. Questioning the patient's family in private, after receiving permission from the patient to discuss his or her care with family members, may help elicit important information about the patient's alcohol use. It is also absolutely essential that health care providers take a careful alcohol history, supplemented by use of either the CAGE or AUDIT questionnaires to establish the likelihood of problem alcohol drinking or abuse ( table 1 and table 2 ). (See "Screening for unhealthy use of alcohol and other drugs in primary care", section on 'Unhealthy alcohol use' .)

Alcoholic hepatitis corticosteroids

alcoholic hepatitis corticosteroids


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