Liver disease in the alcoholic.
The problem of liver damage in alcoholic patients is widespread. This review discusses hepatic damage on the basis of a histologic classification of increasing severity. In the early stages, or with compensated cirrhosis, clinical and laboratory findings may not accurately reflect hepatic involvement. Furthermore, there exists a group of alcoholic patients in whom liver disease may be caused by factors other than alcohol. Nevertheless, in most patients with liver disease, certain biochemical features help to establish an alcoholic etiology. These features and the use of liver biopsy are discussed, and a practical guideline for diagnosis and follow-up is offered.
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Szilagyi
Gut. 1982 Jan;23(1):8-13
7056500
Gastroenterology. 1976 Apr;70(4):562-7
943356
Gastroenterology. 1983 Apr;84(4):683-92
6825980
N Engl J Med. 1982 Dec 23;307(26):1598-602
7144847
Semin Liver Dis. 1985 Aug;5(3):277-90
3901275
Hepatology. 1985 Mar-Apr;5(2):224-32
3979954
Gastroenterology. 1980 Jun;78(6):1389-92
7372058
Ann Intern Med. 1968 Aug;69(2):273-82
5667768
J Lab Clin Med. 1981 Sep;98(3):417-24
7264437
Arch Pathol. 1965 Feb;79:163-8
14236679
Can Med Assoc J. 1984 Jun 1;130(11):1445-7
6733615
Scand J Gastroenterol. 1982 Jan;17(1):41-7
6127789
Gastroenterology. 1978 Feb;74(2 Pt 1):276-86
202538
Can Med Assoc J. 1984 Sep 15;131(6):563-7
6478339
Hepatology. 1983 Nov-Dec;3(6):896-905
6629318
Lancet. 1982 Nov 13;2(8307):1057-8
6127541
Lancet. 1985 Jun 15;1(8442):1357-60
2861313
Ann Intern Med. 1971 Mar;74(3):311-21
4928161
Am J Med. 1979 Nov;67(5):811-6
507094
Gastroenterology. 1977 Jan;72(1):122-5
299725
Dig Dis Sci. 1984 Jul;29(7):593-9
6734367
Am J Dig Dis. 1978 Dec;23(12):1061-6
736013
Int J Epidemiol. 1978 Jun;7(2):113-20
681057
Gut. 1969 Sep;10(9):705-10
5386627
N Engl J Med. 1974 Jan 17;290(3):128-35
4202520
Gut. 1974 Jan;15(1):52-8
4362373
Gut. 1982 Jun;23(6):475-80
7076021
Gut. 1985 Jan;26(1):8-13
3855296
Arch Toxicol. 1982 Mar;49(3-4):253-63
7092564
JAMA. 1985 Aug 2;254(5):627-30
4009897
Alcohol Clin Exp Res. 1980 Oct;4(4):431-4
7004246
Gastroenterology. 1981 Jun;80(6):1405-9
6971772
JAMA. 1982 Nov 12;248(18):2261-5
7131677
Science. 1974 Dec 6;186(4167):941-2
4469692
Arch Intern Med. 1975 Aug;135(8):1053-7
1156066
Gut. 1984 Apr;25(4):412-6
6706221
Am J Gastroenterol. 1985 Dec;80(12):993-7
4073006
Br Med J (Clin Res Ed). 1983 Jun 11;286(6381):1851-4
6407600
Gut. 1983 Jul;24(7):625-30
6134656
Am J Clin Pathol. 1975 Mar;63(3):318-31
46697
Am J Med Sci. 1972 Jan;263(1):35-42
5057850
Gastroenterology. 1979 Jan;76(1):116-22
758132
Gastroenterology. 1972 Jul;63(1):112-21
5055737
Gastroenterology. 1979 Jan;76(1):170-7
213349
Am J Med. 1979 Mar;66(3):429-34
433949
Dig Dis Sci. 1979 Nov;24(11):835-8
520102
Lancet. 1974 May 4;1(7862):829-31
4132788
Gastroenterology. 1972 Dec;63(6):1026-35
4639358
Dig Dis Sci. 1983 Mar;28(3):207-15
6825542
Hepatology. 1984 Sep-Oct;4(5):893-6
6148299
Arch Intern Med. 1982 May;142(5):893-5
6282229
Arch Intern Med. 1963 Jul;112:67-78
13950077
Arch Intern Med. 1985 Nov;145(11):2019-23
4062453
Gastroenterology. 1957 Aug;33(2):236-44
13462070
Am J Dig Dis. 1978 Oct;23(10):883-6
362901
Gastroenterology. 1960 Dec;39:669-89
13737202
J Clin Invest. 1970 Oct;49(10):1775-82
5456793
J Clin Pathol. 1981 Sep;34(9):1017-9
7276216
Hepatology. 1981 May-Jun;1(3):267-83
6169616
Ann Intern Med. 1978 May;88(5):622-6
565608
Arch Intern Med. 1979 Sep;139(9):1038-45
383034
Gut. 1978 Nov;19(11):1015-21
730068
Fed Proc. 1982 Jun;41(8):2465-71
7044830
J Clin Gastroenterol. 1982 Apr;4(2):137-9
6282953
Am J Dig Dis. 1975 Dec;20(12):1142-70
1200009
Br Med J (Clin Res Ed). 1983 Dec 17;287(6408):1819-21
6423029
Br Med J (Clin Res Ed). 1981 Feb 7;282(6262):437-8
6780062
N Engl J Med. 1984 Jul 19;311(3):167-72
6738602
J Clin Invest. 1973 Nov;52(11):2952-62
4270646
Am J Surg. 1983 Sep;146(3):306-9
6604465
Gastroenterology. 1980 Mar;78(3):535-41
6153166
Alcohol Clin Exp Res. 1978 Oct;2(4):327-38
367201
Ann Clin Res. 1977 Feb;9(1):39-43
883755
Br Med J (Clin Res Ed). 1982 Aug 21;285(6341):533-4
6809159
Gastroenterology. 1981 Sep;81(3):616-24
6166511
N Engl J Med. 1982 Jun 10;306(23):1384-7
6281640
Ann Intern Med. 1969 Mar;70(3):497-506
5775031
N Engl J Med. 1966 Jul 14;275(2):61-6
5936867