Diagnosis of alcoholic liver disease

Table 1 Typical clinical features of alcoholic liver disease[36-40]

Spectrum of ALD	Clinical presentation
Alcoholic fatty liver	Asymptomatic
Alcoholic hepatitis	Jaundice
	Anorexia
	Fever
	+/- RUQ/epigastric pain
	+/- Abdominal distention due to ascites
	+/- Proximal muscle weakness
	+/- Confusion due to HE
Compensated cirrhosis	Asymptomatic
	Anorexia
	Weight loss
	Weakness
	Fatigue
	Muscle cramps
	Amenorrhea or irregular menses
	Impotence, infertility, loss of sexual drive
Decompensated cirrhosis	Jaundice
	Pruritus
	GI bleeding
	Weight gain
	Abdominal distention due to ascites
	Lower extremity edema
	Easy bruising
	Sleep disturbances
	Confusion

ALD: Alcoholic liver disease; GI: Gastrointestinal; RUQ: Right upper quadrant; HE: Hepatic encephalopathy.