The aetiology, management and complications of alcoholic hepatitis

First described over 40 years ago, alcoholic hepatitis (AH) (an acute inflammation of the liver) is a common condition seen in 10-35% of heavy drinkers. In its severest form acute AH carries a high short-term mortality of up to 60%. Although the current treatment options are limited, many of the complications associated with increased mortality, such as hepatorenal syndrome, are preventable. The incidence of AH in the UK is set to rise as a result of the increase in heavy drinking. This article aims to increase awareness of the disease aetiology and to review current management strategies and nursing care.