Zusammenfassung
Die alkoholische Hepatitis (AH) ist eine durch Alkohol initiierte Lebererkrankung mit typischen morphologischen, klinischen und laborchemischen Besonderheiten. In der Pathogenese spielen Stoffwechselprodukte des Alkohols, wie Radikale, Acetaldehyde und Reduktionsäquivalente eine wichtige Rolle. Entscheidend ist die Aktivierung des Immunsystems durch Neoantigene und Endotoxine. Die Erkrankung läßt sich eindeutig nur mittels Leberbiopsie erfassen. Hierbei sind morphologisch die Infiltration neutrophiler, polymorphkerniger Leukozyten, das Auftreten von Mallory-Bodies und das „ballooning“ der Hepatozyten besonders charakteristisch.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Adachi Y, Bradford BU, Gao W, Bojes HK, Thuman RG (1994) Inactivation of Kupffer cells prevents early alcohol-induced liver injury. Hepatology 20: 453–460
Adams DH (1994) Leucocyte adhesion molecules and alcoholic liver disease. Alcohol Alcohol 29(3): 249–260
Bird GLA, MacSween RNM (1995) Pathogenesis of alcoholic liver disease: immune mechanisms. In: Hall P (ed) Alcoholic liver disease: pathology and pathogenesis. Edward Arnold Publisher, London Boston Melbourne Auckland, pp 100–122
Bode C, Kugler V, Bode JC (1987) Endotoxemia in patients with alcoholic and non-alcoholic cirrhosis and in subjects with no evidence of chronic liver disease following acute alcohol excess. J Hepatol 4: 8–14
Fang JWS, Bird GLA, Nakamura T, Davis GL, Lau HYN (1994) Hepatocyte proliferation as an indicator of outcome in acute alcoholic hepatitis. Lancet 343: 820–823
Felver ME, Mezey E, McGuire M, Mitchell MC, Herlong HF, Vecch GA (1990) Plasma tumor necrosis factor alpha predicts decreased long-term survival in severe alcoholic hepatitis. Alcohol Clin Exp Res 14: 255–259
Gavaler JS, Arria AM (1995) Increased susceptibility of women to alcoholic liver disease: artifactual or real? In: Hall P (ed) Alcoholic liver disease: pathology and pathogenesis. Edward Arnold Publisher, London Boston Melbourne Auckland, pp 123–233
Gressner AM, Bachern MG (1995) Molecular mechanisms of liver fibrogenesis — a homage to the role of activated fatstoring cells. Digestion 56: 335–346
Hall PM (1995) Pathological spectrum of alcoholic liver disease. In: Hall P (ed) Alcoholic liver disease: pathology and pathogenesis. Edward Arnold Publisher, London Boston Melbourne Auckland, pp 41–70
Itano S, Sata M, Kumashiro R, Hiraj K, Tanikawa K (1996) Usefulness of technetium-99m-galactosyl human serum albumin liver scintigraphy for assessment of severity of alcoholic hepatitis. Alcohol Clin Exp Res 20(1): 86A–90A
Jensen K, Glund C (1994 a) The Mallory body: morphological, clinical and experimental studies (part 1 of a literature survey). Hepatology 20: 1061–1077
Jensen K, Glund C (1994 b) The Mallory body: theories on development and pathological significance (part 2 of a literature survey). Hepatology 20: 1330–1342
Krom RAF (1994) Liver transplantation and alcohol: who should get transplants? Hepatology 20: 28S–32S
Lieber CS (1994) Alcohol and the liver: 1994 update. Gastroenterology 106: 1085–1105
Lieber CS (1995) Prevention and therapy with S-adenosyl-L-methionine and polyenylphosphatidylcholin. In: Arroya V, Bosch J, Rodés J (eds) Treatment in hepatology. Masson SA, Barcelona, pp 299–311
Mandi Y, Nagy I (1995) Circulating ICAM-1 in alcoholic liver cirrhosis. Int Arch Allergy Immunol 106: 302–304
Mathurin P, Rueff S, Ramond MJ, Poynard T (1995) Corticosteroid therapy in patients with severe alcoholic hepatitis. In: Arroyo V, Bosch J, Rodés J (eds) Treatments in hepatology. Masson SA, Barcelona, pp 277–280
Mathurin P, Duchatelle V, Ramond MJ et al. (1996) Survival and prognostic factors in patients with severe alcoholic hepatitis treated with prednisolone. Gastroenterology 110: 1847–1853
Mendenhall C, Roselle GA, Gartside P, Moritz T, and the Veterans Administration Cooperative Study Groups 119 and 275 (1995) Relationship of protein caloric malnutrition to alcoholic liver disease: a reexamination of data from two Veterans Administration Cooperative Studies. Alcohol Clin Exp Res 19(3): 635–641
Orrego H, Isreael Y, Blake YE, Mediine A (1983) Assessment of prognostic factors in alcoholic liver disease: toward a global quantitative expression of severity. Hepatology 3: 896–905
Oneta C, Pöschl G, Seitz HK (1996) Therapy of alcoholic liver disease. In: Schmid R, Bianchi L, Blum HE, Gerok W, Maier KP, Stalder GA (eds) Acute and chronic liver diseases: molecular biology and clinics. Falk Symposium 87. Kluwer Academic Publishers, Dordrecht Boston London, pp 126–136
Rosman AS, Waraich A, Galvin K, Casiano J, Paronetto F, Lieber CS (1996) Alcoholism is associated with hepatitis C but not hepatitis B in an urban population. Am J Gastroenterol 91(3): 498–505
Schenker S, Hoyumpa AM (1995) Nutritional therapy of alcoholic liver disease. In: Arroyo V, Bosch J, Rodés J (eds) Treatments in hepatology. Masson SA, Barcelona, pp 281–290
Shahin M, Schuppan D, Waldherr R et al. (1992) Serum procallogen peptides and collagen type VI for the assessment of activity and degree of hepatic fibrosis in schistosomiasis and alcoholic liver disease. Hepatology 15(4): 637–644
Stickel F, Urbaschek R, Schuppan D et al. (1995) Serum undulin and collagen type VI in alcoholic liver disease: relationship to transforming growth factor beta-1. Hepatology 22(pt2): 286A
Thiele GM, Miller JA, Klassen LW, Tuma DJ (1996) Long-term ethanol administration alters the degradation of acetaldehyde adducts by liver endothelial cells. Hepatology 24: 643–648
Tsukamoto H, Rippe R, Niemela O, Lin M (1995) Roles of oxidative stress in activation of Kupffer cells and Ito cells in liver fibrogenesis. J Gastroenterol Hepatol 10: S50–S53
Tuma DJ, Todero SL, Barak-Bornhagen M, Sorrell MF (1996) Effects of chronic ethanol administration on the endocytosis of cytokines by rat hepatocytes. Alcohol Clin Exp Res 20(3): 579–583
Yokohama H, Ishii H, Nagata S, Kato S, Kamegaya K, Tsuohiya M (1993) Experimental hepatitis induced by ethanol after immunization with acetaldehyde adducts. Hepatology 17: 14–19
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2000 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Seitz, H.K., Oneta, C.M. (2000). Alkoholische Hepatitis. In: Adler, G., Beglinger, C., Manns, M.P., Müller-Lissner, S., Schmiegel, W. (eds) Klinische Gastroenterologie und Stoffwechsel. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57194-7_43
Download citation
DOI: https://doi.org/10.1007/978-3-642-57194-7_43
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-65059-1
Online ISBN: 978-3-642-57194-7
eBook Packages: Springer Book Archive