Alcoholic Liver Disease
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- Alcohol use disorder is a significant medical and socioeconomic problem.
- Patients may underestimate or minimize their reported alcohol abuse.
- According to the 2015 National Survey on Drug Use and Health, 15.1 million US adults age 18 and older (6.2% of this age group) had alcohol use disorder.
- The spectrum of alcoholic liver disease includes fatty liver, alcoholic steatohepatitis, severe alcoholic hepatitis, and cirrhosis. Fatty liver is the most common and occurs in up to 90% of alcoholics.
- Of all excessive alcohol users, between 10% and 20% will develop cirrhosis and 35% will develop alcoholic hepatitis. More than half of the latter will progress to cirrhosis.
- Alcoholic cirrhosis is a common cause of ESLD and HCC.