Veldt et al evaluated patients who used alcohol based on clinical and laboratory findings. The authors are from Centre Hospitalier Universitaire in Rennes, France.
Alcohol Intake |
Biochemical Markers |
Category |
none, confirmed |
all normal |
abstinent |
< 3 units per day if male, < 2 units per day if female |
all normal |
sober |
alternating sobriety and excessive intake |
variable |
relapse |
> 3 units per day if male, > 2 units per day if female |
NA |
excessive by intake |
present but amount unknown |
abnormal without other explanation |
excessive by injury |
Biochemical markers were considered normal:
(1) negative breath, blood and/or urine alcohol
(2) normal MCV
(3) normal GGT
Problems in evaluation:
(1) absence of or unreliability in reports of alcohol intake
(2) abnormal biochemical markers caused by another disorder
(3) end-stage liver disease, with biochemical markers remaining abnormal despite abstinence
Specialty: Psychiatry, Toxicology
ICD-10: ,