Clinical features

• Acute hepatitis: tender hepatomegaly, acute jaundice, malaise, nausea, anorexia, fatigue, fever, weight loss, tachypnea

• Acute alcohol withdrawal: tremor, agitation, tachycardia, alcohol withdrawal seizures, alcohol withdrawal delirium

• Long-term alcohol use: rhinophyma, Dupuytren contracture, sarcopenia, temporal muscle wasting

• Cirrhosis : clinical features of liver cirrhosis (e.g., jaundice, ascites, palmar erythema, spider angiomata)

Acute alcoholic hepatitis may be reversible in mild cases.

Symptoms of alcoholic hepatitis are nonspecific. The presence of acute-onset jaundice can help differentiate acute alcoholic hepatitis from decompensated cirrhosis.