A 37 year-old man with a recent history of severe alcohol-associated hepatitis treated with 28 days of prednisolone presents to your outpatient clinic. How would you diagnose and manage his alcohol use disorder?
Treatment of alcohol use disorder in patients with cirrhosis is essential. Here is one RCT assessing whether baclofen is a safe and effective option! https://bit.ly/3HXb9Ll
Some people treat alcohol-associated hepatitis with both NAC and prednisolone and some with just prednisolone- here is the trial that underlies this decision: https://www.nejm.org/doi/full/10.1056/nejmoa1101214
In Episode 4 of “Conversations with an Expert,” Hersh continues to learn about AUD/ALD in an interview with UMich clinical psychologist Dr. Anne Fernandez.
In Episode 3 of the newly-named “Conversations with an Expert,” Hersh chats with Dr. Gerald Scott Winder to learn the psychiatrist’s perspective on alcohol-related liver disease. Enjoy!
In episode 2, Hersh has the pleasure of sitting down (virtually) with Dr. Jessica Mellinger of the University of Michigan. Join them as they discuss alcohol use disorder in liver transplant recipients.