Description

Veldt et al evaluated patients who used alcohol based on clinical and laboratory findings. The authors are from Centre Hospitalier Universitaire in Rennes, France.


 

Alcohol Intake

Biochemical Markers

Category

none, confirmed

all normal

abstinent

< 3 units per day if male, < 2 units per day if female

all normal

sober

alternating sobriety and excessive intake

variable

relapse

> 3 units per day if male, > 2 units per day if female

NA

excessive by intake

present but amount unknown

abnormal without other explanation

excessive by injury

 

Biochemical markers were considered normal:

(1) negative breath, blood and/or urine alcohol

(2) normal MCV

(3) normal GGT

 

Problems in evaluation:

(1) absence of or unreliability in reports of alcohol intake

(2) abnormal biochemical markers caused by another disorder

(3) end-stage liver disease, with biochemical markers remaining abnormal despite abstinence

 


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