Alcoholic Hepatitis: A Common Disease with Uncommon Presentation

被引:0
|
作者
Khatiwada, Pratik [1 ]
Rodriguez, JoseA. [1 ]
Reyes-Corcho, Andres [1 ]
机构
[1] Mem Healthcare Syst, Dept Internal Med, 703 N Flamingo Rd, Pembroke Pines, FL 33028 USA
关键词
Alcoholic hepatitis; Hyperbilirubinemia; Hypertriglyceridemia;
D O I
10.1159/000508426
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Alcoholic liver disease is one of the leading causes of hepatitis, cirrhosis, liver failure, and hepatic carcinoma. Alcoholic hepatitis refers to the acute onset of symptomatic hepatitis. We describe a patient who presented with alcoholic hepatitis with direct hyperbilirubinemia, elevated alkaline phosphatase (ALP), and hypertriglyceridemia. All the imaging and laboratory work excluded obstructive causes, and liver biopsy confirmed the diagnosis. Alcoholic hepatitis is a common condition, but some unusual presentations can lead one to think of uncommon pathologies. This case reflects that alcoholic hepatitis can present with high levels of triglycerides as well as a cholestatic pattern with direct hyperbilirubinemia and ALP without an obvious obstruction cause.
引用
收藏
页码:448 / 452
页数:5
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