The ALT is often less than 300 but do not let this fool you. This is a serious disease with significant mortality. Be aware of Maddrey's score based on Prothrombin time and bilirubin and consider steroids when the score > 32.
A GAH score greater than 9 indicates a
poor prognosis, and suggests the
the patient may benefit from steroid
About
Aetiology
Host characteristics
Clinical
Differential
Investigations
Prognosis: GAHS/Maddrey's score
Glasgow Alcoholic hepatitis score
Value 1 2 3 Age (yrs) <50 >50 WCC <15 >15 Urea (mmol/l) <5 >5 PT ratio <1.5 1.5-2.0 >2.0 Bilirubin umol/l <125 125-250 >250 Management
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Alcoholic (Steato)Hepatitis
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