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Summary

The authors comment based on systematic reviews and meta-analysis the most important aspects about alcoholic liver disease (ALD) especially in relation to diagnosis and treatment. The diagnosis is based on anamnesis, physical and laboratorial exams (sometimes including some new exams) image diagnosis, morphological data in some cases and on the improvement after the alcoholic abstention. They comment about the association alcohol and drugs, alcohol and virus B and C hepatitis, fat hepatic non-alcoholic disease and hepatocellular carcinoma.
The treatment includes alcoholic abstention, treatment for alcoholism and general conditions. They comment about the use of drugs in ALD and liver transplant. The dose recommended for the vaccination against B hepatitis to alcoholic addict should be double of the generally utilized.



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