A Female Case with Alcohol-Associated Liver Disease (ALD) and Medical and Psychological Problems

Current case is a 54-year-old female with alcohol-associated liver disease (ALD). She suffered from depression, panic disorder, and self-harm in her 30’s, and has recently drunk more. The blood chemistry in 2023 showed AST 144 U/L, ALT 22 U/L, gamma-glutamyl transpeptidase (GGT) 1117 U/L, uric acid (UA) 12.2 mg/dL, and mean corpuscular volume (MCV) 115 fL, and then she was hospitalized and treated. Furthermore, she was diagnosed with psoriasis, probably related to alcoholism. She recently showed improvement in blood tests, and fatty liver, gallstones, and a pancreatic cyst by abdominal CT scan. Elevated AST/ALT ratio may indicate the advance of liver fibrosis.