Alcoholic Fatty Liver Disease

Alcoholic fatty liver disease, as the name says, it is caused by heavy alcohol use. This is the earliest stage of alcohol related disease, later it progresses into alcoholic hepatitis then finally to cirrhosis. This usually presents with elevated transaminases in the absence of hepatomegaly. It has a good prognosis and steatosis usually disappears after 3 months of abstinence.

Usually asymptomatic, Normal/large liver, Abnormal liver biochemistry

Heavy alcohol use

Binge drinking, Common in women due to high ethanols level after drinking as their body mass is lower than man, Polymorphism in the genes involved in alcohol metabolism have yet to be linked to alcoholic liver diseases

Full blood count, Liver function test, Coagulation profile, Abdominal ultrasound

Cessation of alcohol: Normally the liver return back to normal after 3 months of abstinence, Psychological therapy for alcoholism, Medications to abstinence from alcohol, Eating healthy and balanced diet to avoid malnutrition.