Complications of
Alcoholic Hepatitis
- Steatosis
(fatty liver):
The liver becomes swelled and the total weight of the liver
increases to 2 to 2.5 kg (a normal liver weighs approximately
1.5kg). In severe cases, the liver can weigh as much as 4 to 4.5
kg. Under microscopy, the liver cells are filled with fat.
- Inflammation:
The liver tissue shows acute or chronic inflammation and liver
cells show degeneration and necrosis. Inflammatory cells
infiltrate in the liver lobes and resulting in fibrosis, and
eventually cirrhosis.
- Intrahepaticbile
retention:
Jaundice deepening and noticeable swelling of the liver,
stomachache, fevers, marked elevation of bilirubin and AKP.
ALT and AST elevation is usually mild.
- Zieve
syndrome:
This syndrome has three major characters, jaundice, high blood
lipids, and hemolytic anemia. It will usually heal when the
patient stops alcohol consumption completely.
- Alcoholic
hypoglycemia:
When a drinker eats very little food and drinks a lot of
alcohol, hypoglycemia can happen. Symptoms include palpitation,
profound sweating, loss of consciousness and other neurological
symptoms. This can be treated with IV glucose dripping.
- Liver
failure:
After the initial onset, the disease develops dramatically and
the symptoms are similar to fulminant hepatitis. It often comes
with hepatic coma, upper gastrointestinal bleeding, kidney
failure, and secondary infections. It is a dangerous
complication and has a high mortality rate.
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