hepatic and biliary disorders
Alcohol Related Liver Disease
Symptoms and Signs of Alcohol Related Liver Disease
Symptoms usually become apparent in patients during their 30s or 40s; severe problems appear about a decade later. Alcohol-related hepatic steatosisis often asymptomatic. In one third of patients, the liver is enlarged and smooth, but it is not usually tender. ranges from mild and reversible to life threatening. Most patients with moderate disease are undernourished and present with fatigue, fever, jaundice, right upper quadrant pain, tender hepatomegaly, and sometimes a hepatic bruit. About 40% deteriorate soon after hospitalization, with consequences ranging from mild (eg, increasing jaundice) to severe (eg, Ascites , if compensated, may be asymptomatic. The liver is usually small; when the liver is enlarged, hepatic steatosis or Hepatocellular Carcinoma should be considered. Symptoms range from those of alcoholic hepatitis to the complications of end-stage liver disease, such as rather than liver disease, causes Dupuytren Contracture of the palmar fascia, vascular spiders, myopathy, and peripheral neuropathy. In men, chronic excessive alcohol consumption causes signs of Rarely, patients with hepatic steatosis or cirrhosis present with Zieve syndrome (hyperlipidemia, hemolytic anemia, and jaundice). 