Skip to main content

Table 3 Lessons learned from a case of a 37 year-old hospitalized for acute liver injury while enrolled in a managed alcohol program for severe alcohol disorder

From: Grayken lessons: between a rock and a hard place? A 37-year-old man with acute liver injury while enrolled in a managed alcohol program for severe alcohol use disorder

1. Clinicians should be mindful of premature diagnostic closure when caring for patients with substance use disorders, and pursue a comprehensive diagnostic workup for acute liver injury that is not clinically consistent with alcohol-associated hepatitis

2. Managed alcohol programs (MAPs) are a harm reduction practice with promise to reduce health and social harms associated with severe alcohol use disorder, and to help stabilize alcohol use

3. In the setting of patient-centered care, shared decision-making, and longitudinal relationships, MAPs can be a clinically appropriate and ethical option for patients with alcohol use disorder and liver disease