Clinical Profile of Alcoholic Liver Disease in Saveetha Medical College and Hospital and Its Association with Type, Amount and duration of Alcohol Consumption

Abstract

Introduction: Alcoholic liver disease is a caused as a result of overconsuming alcohol that damages the liver, leading to inflammation, and scarring. It is often fatal with mortality and morbidity worldwide. Many studies in various countries show contradictory results about the role of amount, type and duration of alcohol exposure in determining the risk to develop ALD. This study aims to evaluate clinical profile of ALD in south Indian population and to correlation of disease severity with alcohol intake. Material and Methods: A total of 50 patients of ALD were evaluated to correlate their clinical findings, biochemical parameters, prognostic markers (Discriminant function [DF] score, Model for end-stage liver disease [MELD] score and Child-Pugh score) and with their alcohol intake data in form of type, amount and duration of alcohol intake. Results: Hepatic encephalopathy, neutrophil to lymphocyte ratio (NLR) and all three prognostic scores showed a dose-dependent relation with the amount of alcohol intake (p <0.05). The results showed that the duration of alcohol had a positive impact on the results. NLR correlates well with all prognostic markers (p <0.05 for NLR's Spearman correlation with DF score and Child-Pugh Score), more so with MELD score (p <0.0001); and complications like hepatic encephalopathy and hepato-renal syndrome. Conclusion: In this study we conclude that there is significant dose dependent relation of ALD along with its complications, prognostic markers and NLR with the amount, type and duration of alcohol consumption. Although the type of alcohol consumption didn’t have much influence on the results, amount of intake had a correlation with NLR.