{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:59:11Z","timestamp":1790405951683,"version":"4.1.0"},"reference-count":10,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gen and Family Med"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Acute\u2010on\u2010chronic liver failure (ACLF) is associated with high short\u2010term mortality. We report a man in his 50s with alcohol\u2010related cirrhosis who developed ACLF following binge drinking. Despite being classified as grade 1 ACLF according to the Japanese severity classification, he presented with severe metabolic acidosis and marked hyperlactatemia and died 4\u2009h after admission. Another prognostic scoring system classified him in the most severe category. This case illustrates that different severity assessments may provide complementary information regarding ACLF severity and prognosis and underscores the importance of repeatedly addressing problematic alcohol use and facilitating engagement in specialized addiction treatment during outpatient care.<\/jats:p>","DOI":"10.1002\/jgf2.70165","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T16:39:16Z","timestamp":1789749556000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute\u2010On\u2010Chronic Liver Failure With Discordant Severity Assessments Following Binge Drinking: A Case Report"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-6642-9457","authenticated-orcid":false,"given":"Minami","family":"Seki","sequence":"first","affiliation":[{"name":"Division of Internal Medicine Health Co\u2010op. Watari Hospital  Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8900-470X","authenticated-orcid":false,"given":"Tomoyuki","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Internal Medicine Health Co\u2010op. Watari Hospital  Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuma","family":"Haraguchi","sequence":"additional","affiliation":[{"name":"Division of General Medicine Health Co\u2010op. 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