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PART 14: Disorders of the Gastrointestinal System
SECTION 2   Liver and Biliary Tract Disease

307 Alcoholic Liver Disease
Mark E. Mailliard / Michael F. Sorrell

Figure 307-1  Biomedical and cellular pathogenesis of liver injury secondary to chronic ethanol ingestion. MAA, malondialdehyde-acetaldehyde; TNF, tumor necrosis factor; TGF, transforming growth factor; IL, interleukin; PPAR, peroxisome proliferator-activated receptor; RXR, retinoid X receptor.
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Figure 307-2  Effect of glucocorticoid therapy of severe alcoholic hepatitis on short-term survival: the result of a meta-analysis of individual data from three studies. Prednisolone, solid line; placebo, dotted line. (Adapted from Mathurin et al., with permission from Elsevier...
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Figure 307-3  Treatment algorithm for alcoholic hepatitis. As identified by a calculated discriminant function >32 (see text), patients with severe alcoholic hepatitis, without the presence of gastrointestinal bleeding or infection, would be candidates for either glucocorticoids or pentoxifylline...
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