Nizar N. Zein, MD, FAASLD

Seeking medical care abroad: A challenge to empathy

Empathy for international patients is not merely an act of kindness, it is central to healing.

Author:: Mohamad A. Hanouneh, MD; Ari Garber, MD, EDD; Anthony S. Tavill, MD, FAASLD; Nizar N. Zein, MD, FAASLD; Ibrahim A. Hanouneh, MD

We thank Dr. Mirrakhimov and colleagues for bringing important questions to our attention.

Author:: Mohamad A. Hanouneh, MD; Ari Garber, MD, EDD; Anthony S. Tavill, MD, FAASLD; Nizar N. Zein, MD, FAASLD; Ibrahim A. Hanouneh, MD

A young woman presents with acute liver failure. What is the cause? Is her sister at risk?

Author:: Jose Mari Parungao, MD; Ibrahim A. Hanouneh, MD; Binu John, MD; Naim Alkhouri, MD; Nizar N. Zein, MD, FAASLD

In hepatitis C, people born with the IL28B CC genotype can count themselves luckier than those born with CT or TT.

These new drugs are a major step forward, and multidrug regimens that include them are the new standard of care.

Author:: Jamak Modaresi Esfeh, MD; Ibrahim A. Hanouneh, MD; Nizar N. Zein, MD, FAASLD

He has generalized malaise, a palpably enlarged liver, and an alkaline phosphatase level of 1,307 U/L. What is the cause?

Author:: Ribhi Hazin, MD; Tarek I. Abu-Rajab Tamimi, MD; Jamily Y. Abuzetun, MD; Nizar N. Zein, MD, FAASLD

If we can recognize these manifestations early, we will be better able to promptly diagnose and treat the underlying liver disease as well as the...

Author:: Ibrahim A. Hanouneh, MD; Rami Khoriaty, MD; Nizar N. Zein, MD, FAASLD

The patient acquired hepatitis B virus at birth and was never treated for it. What is his present infection status?

Almost 40% of patients with hepatitis C develop at least one extrahepatic manifestation during the course of the disease.

Liver dysfunction may be caused by the pregnancy, it may be unrelated to the pregnancy, or it may be a chronic condition that existed before the...

Spontaneous bacterial peritonitis is more common than previously thought. Cirrhotic patients with ascites are particularly susceptible. When it is...