Ewan Forrest
@ewanforrest.bsky.social
Consultant Hepatologist, Glasgow Royal Infirmary, and Honorary Professor, University of Glasgow. Views my own.
Reposted by Ewan Forrest
Views on transplantation for alcohol related hepatitis from France USA and Canada.
❓ Time for the UK to catch up ❓
❓ Time for the UK to catch up ❓
March 19, 2025 at 8:15 PM
Views on transplantation for alcohol related hepatitis from France USA and Canada.
❓ Time for the UK to catch up ❓
❓ Time for the UK to catch up ❓
I have a few similar patients. Serology is specific, but I check circulating bile salts to confirm cholestatic pruritus. Rx with standard dose UDCA, however the biochemical endpoint has already been ‘achieved’ before you start. I then monitor and add adjunctive Rx if ALP rises. Other approaches?
March 8, 2025 at 10:12 AM
I have a few similar patients. Serology is specific, but I check circulating bile salts to confirm cholestatic pruritus. Rx with standard dose UDCA, however the biochemical endpoint has already been ‘achieved’ before you start. I then monitor and add adjunctive Rx if ALP rises. Other approaches?
No, but I know someone who does…
January 26, 2025 at 9:51 PM
No, but I know someone who does…
Excellent study: the 40mg prednisolone for 28 days has been ripe for challenging for a long time now. Dose and duration established only by historical quirk rather than evidence. Need to assess targeted (I would argue NLR rather than severity based) tapered/short duration treatment.
#liversky
#liversky
November 19, 2024 at 11:09 AM
Excellent study: the 40mg prednisolone for 28 days has been ripe for challenging for a long time now. Dose and duration established only by historical quirk rather than evidence. Need to assess targeted (I would argue NLR rather than severity based) tapered/short duration treatment.
#liversky
#liversky