Investigate the young patient with cirrhosis carefully as they may have a treatable cause:
- alcohol
- chronic active hepatitis
- HBV / HCV / HDV
- autoimmune – primary biliary cirrhosis, secondary biliary cirrhosis, primary sclerosing cholangitis (I/II)
- drugs – nitrofurantoin, methyldopa
- Wilson’s disease
- haemochromatosis
- cryptogenic (idiopathic)
- non-alcoholic steatohepatitis – fatty liver
- diabetes mellitus
- toxins
- others
- cardiac failure
- hepatic vein obstruction (Budd-Chiari syndrome)
- α1-antitrypsin deficiency
- inherited metabolic disorders
