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Main article: [[Alcoholic hepatitis]]
Main article: [[Alcoholic hepatitis]]


[[Ethanol]], mostly in alcoholic beverages, is a significant cause of hepatitis. Usually alcoholic hepatitis comes after a period of increased alcohol consumption. Alcoholic hepatitis is characterized by a variable constellation of symptoms, which may include feeling unwell, enlargement of the liver, development of fluid in the abdomen ascites, and modest elevation of liver blood tests. Alcoholic hepatitis can vary from mild with only liver test elevation<ref>{{Cite journal|title = Epstein-Barr virus in nasal T-cell lymphomas in patients with lethal midline granuloma|url = http://linkinghub.elsevier.com/retrieve/pii/014067369090002M|journal = The Lancet|pages = 128-130|volume = 335|issue = 8682|doi = 10.1016/0140-6736(90)90002-m|first = Y.|last = Harabuchi|first2 = N.|last2 = Yamanaka|first3 = A.|last3 = Kataura|first4 = S.|last4 = Imai|first5 = T.|last5 = Kinoshita|first6 = T.|last6 = Osato}}</ref> to severe liver inflammation with development of jaundice, prolonged prothrombin time, and liver failure. Severe<ref>Carle, A. C., & Weech-Maldonado, R. (2012). Does the Consumer Assessment of Healthcare Providers and Systems Cultural Competence Survey provide equivalent measurement across English and Spanish versions? ''Medical Care'', ''50''(9 Suppl 2), S37–41. doi:10.1097/MLR.0b013e3182665189</ref> cases are characterized by either obtundation (dulled consciousness) or the combination of elevated bilirubin levels and prolonged prothrombin time; the mortality rate in both categories is 50% within 30 days of onset.[citation needed]
[[Ethanol]], mostly in alcoholic beverages<ref><nowiki>{{Cite journal| issn = 0300-8916| volume = 95| issue = 1| pages = 28–31| last1 = Khalil| first1 = S.| last2 = Ceccarelli| first2 = F.| title = Colorectal cancer after breast cancer: Magnitude of risk in clinical practice and in the literature| journal = Tumori| date = 2009}}</nowiki></ref>>, is a significant cause of hepatitis. Usually alcoholic hepatitis comes after a period of increased alcohol consumption. Alcoholic hepatitis is characterized by a variable constellation of symptoms, which may include feeling unwell, enlargement of the liver, development of fluid in the abdomen ascites, and modest elevation of liver blood tests. Alcoholic hepatitis can vary from mild with only liver test elevation<ref>{{Cite journal|title = Epstein-Barr virus in nasal T-cell lymphomas in patients with lethal midline granuloma|url = http://linkinghub.elsevier.com/retrieve/pii/014067369090002M|journal = The Lancet|pages = 128-130|volume = 335|issue = 8682|doi = 10.1016/0140-6736(90)90002-m|first = Y.|last = Harabuchi|first2 = N.|last2 = Yamanaka|first3 = A.|last3 = Kataura|first4 = S.|last4 = Imai|first5 = T.|last5 = Kinoshita|first6 = T.|last6 = Osato}}</ref> to severe liver inflammation with development of jaundice, prolonged prothrombin time, and liver failure. Severe<ref>Carle, A. C., & Weech-Maldonado, R. (2012). Does the Consumer Assessment of Healthcare Providers and Systems Cultural Competence Survey provide equivalent measurement across English and Spanish versions? ''Medical Care'', ''50''(9 Suppl 2), S37–41. doi:10.1097/MLR.0b013e3182665189</ref> cases are characterized by either obtundation (dulled consciousness) or the combination of elevated bilirubin levels and prolonged prothrombin time; the mortality rate in both categories is 50% within 30 days of onset.[citation needed]


Alcoholic hepatitis is distinct from cirrhosis caused by long-term alcohol consumption<ref>{{Cite journal|title = Epstein-Barr virus in nasal T-cell lymphomas in patients with lethal midline granuloma|url = http://linkinghub.elsevier.com/retrieve/pii/014067369090002M|journal = The Lancet|pages = 128-130|volume = 335|issue = 8682|doi = 10.1016/0140-6736(90)90002-m|first = Y.|last = Harabuchi|first2 = N.|last2 = Yamanaka|first3 = A.|last3 = Kataura|first4 = S.|last4 = Imai|first5 = T.|last5 = Kinoshita|first6 = T.|last6 = Osato}}</ref>. Alcoholic hepatitis can occur in patients with chronic alcoholic liver disease and alcoholic cirrhosis. Alcoholic hepatitis by itself does not lead to cirrhosis, but cirrhosis<ref>Aune, D. (2012). Soft drinks, aspartame, and the risk of cancer and cardiovascular disease. ''The American Journal of Clinical Nutrition'', ''96''(6), 1249–1251. doi:10.3945/ajcn.112.051417</ref><nowiki> is more common in patients with long-term alcohol consumption.[76] Patients who drink alcohol to excess are also more often than others found to have hepatitis C.[citation needed] The combination of hepatitis C and alcohol consumption accelerates the development of cirrhosis. PMID 24225087 </nowiki><ref name="Tumut">Tumurbaatar B, Tikhanovich I, Li Z, Ren J, Ralston R, Kuravi S et al. (2013) [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=24225087 Hepatitis C and Alcohol Exacerbate Liver Injury by Suppression of FOXO3.] ''Am J Pathol'' ():. [http://dx.doi.org/10.1016/j.ajpath.2013.08.013 DOI:10.1016/j.ajpath.2013.08.013] PMID: [http://pubmed.gov/24225087 24225087]</ref> SGOT is also a problem <ref name="Tumut"></ref>
Alcoholic hepatitis is distinct from cirrhosis caused by long-term alcohol consumption<ref>{{Cite journal|title = Epstein-Barr virus in nasal T-cell lymphomas in patients with lethal midline granuloma|url = http://linkinghub.elsevier.com/retrieve/pii/014067369090002M|journal = The Lancet|pages = 128-130|volume = 335|issue = 8682|doi = 10.1016/0140-6736(90)90002-m|first = Y.|last = Harabuchi|first2 = N.|last2 = Yamanaka|first3 = A.|last3 = Kataura|first4 = S.|last4 = Imai|first5 = T.|last5 = Kinoshita|first6 = T.|last6 = Osato}}</ref>. Alcoholic hepatitis can occur in patients with chronic alcoholic liver disease and alcoholic cirrhosis. Alcoholic hepatitis by itself does not lead to cirrhosis, but cirrhosis<ref>Aune, D. (2012). Soft drinks, aspartame, and the risk of cancer and cardiovascular disease. ''The American Journal of Clinical Nutrition'', ''96''(6), 1249–1251. doi:10.3945/ajcn.112.051417</ref><nowiki> is more common in patients with long-term alcohol consumption.[76] Patients who drink alcohol to excess are also more often than others found to have hepatitis C.[citation needed] The combination of hepatitis C and alcohol consumption accelerates the development of cirrhosis. PMID 24225087 </nowiki><ref name="Tumut">Tumurbaatar B, Tikhanovich I, Li Z, Ren J, Ralston R, Kuravi S et al. (2013) [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=24225087 Hepatitis C and Alcohol Exacerbate Liver Injury by Suppression of FOXO3.] ''Am J Pathol'' ():. [http://dx.doi.org/10.1016/j.ajpath.2013.08.013 DOI:10.1016/j.ajpath.2013.08.013] PMID: [http://pubmed.gov/24225087 24225087]</ref> SGOT is also a problem <ref name="Tumut"></ref>

Revision as of 21:45, 25 October 2015

Alcoholic hepatitis Main article: Alcoholic hepatitis

Ethanol, mostly in alcoholic beverages[1]>, is a significant cause of hepatitis. Usually alcoholic hepatitis comes after a period of increased alcohol consumption. Alcoholic hepatitis is characterized by a variable constellation of symptoms, which may include feeling unwell, enlargement of the liver, development of fluid in the abdomen ascites, and modest elevation of liver blood tests. Alcoholic hepatitis can vary from mild with only liver test elevation[2] to severe liver inflammation with development of jaundice, prolonged prothrombin time, and liver failure. Severe[3] cases are characterized by either obtundation (dulled consciousness) or the combination of elevated bilirubin levels and prolonged prothrombin time; the mortality rate in both categories is 50% within 30 days of onset.[citation needed]

Alcoholic hepatitis is distinct from cirrhosis caused by long-term alcohol consumption[4]. Alcoholic hepatitis can occur in patients with chronic alcoholic liver disease and alcoholic cirrhosis. Alcoholic hepatitis by itself does not lead to cirrhosis, but cirrhosis[5] is more common in patients with long-term alcohol consumption.[76] Patients who drink alcohol to excess are also more often than others found to have hepatitis C.[citation needed] The combination of hepatitis C and alcohol consumption accelerates the development of cirrhosis. PMID 24225087 [6] SGOT is also a problem [6]

References

  1. ^ {{Cite journal| issn = 0300-8916| volume = 95| issue = 1| pages = 28–31| last1 = Khalil| first1 = S.| last2 = Ceccarelli| first2 = F.| title = Colorectal cancer after breast cancer: Magnitude of risk in clinical practice and in the literature| journal = Tumori| date = 2009}}
  2. ^ Harabuchi, Y.; Yamanaka, N.; Kataura, A.; Imai, S.; Kinoshita, T.; Osato, T. "Epstein-Barr virus in nasal T-cell lymphomas in patients with lethal midline granuloma". The Lancet. 335 (8682): 128–130. doi:10.1016/0140-6736(90)90002-m.
  3. ^ Carle, A. C., & Weech-Maldonado, R. (2012). Does the Consumer Assessment of Healthcare Providers and Systems Cultural Competence Survey provide equivalent measurement across English and Spanish versions? Medical Care, 50(9 Suppl 2), S37–41. doi:10.1097/MLR.0b013e3182665189
  4. ^ Harabuchi, Y.; Yamanaka, N.; Kataura, A.; Imai, S.; Kinoshita, T.; Osato, T. "Epstein-Barr virus in nasal T-cell lymphomas in patients with lethal midline granuloma". The Lancet. 335 (8682): 128–130. doi:10.1016/0140-6736(90)90002-m.
  5. ^ Aune, D. (2012). Soft drinks, aspartame, and the risk of cancer and cardiovascular disease. The American Journal of Clinical Nutrition, 96(6), 1249–1251. doi:10.3945/ajcn.112.051417
  6. ^ a b Tumurbaatar B, Tikhanovich I, Li Z, Ren J, Ralston R, Kuravi S et al. (2013) Hepatitis C and Alcohol Exacerbate Liver Injury by Suppression of FOXO3. Am J Pathol ():. DOI:10.1016/j.ajpath.2013.08.013 PMID: 24225087