## **Core Concept**
Alcoholic hepatitis is a condition characterized by liver inflammation due to excessive alcohol consumption. The discriminant function (DF) score, also known as the Glasgow alcoholic hepatitis score (GAHS) or the more commonly used discriminant function of Maddrey et al., helps predict the severity and guides treatment. A DF score greater than 32 indicates severe alcoholic hepatitis.

## **Why the Correct Answer is Right**
The correct treatment for severe alcoholic hepatitis, indicated by a discriminant function score of >32, involves corticosteroids. The most commonly used corticosteroid is prednisolone (or prednisone in some regions), which has been shown to improve short-term survival in patients with severe alcoholic hepatitis. The mechanism involves reducing inflammation and immune system modulation.

## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is incorrect because, although abstention from alcohol is crucial in the management of alcoholic hepatitis, it does not directly address the acute inflammatory phase indicated by a high DF score.
- **Option B:** This option might be considered a supportive treatment but does not specifically address the severe inflammation indicated by a DF score >32.
- **Option C:** While pentoxifylline, a phosphodiesterase inhibitor with anti-inflammatory properties, can be used in treating alcoholic hepatitis, it is generally considered for those who cannot tolerate corticosteroids or as an alternative, not the first line for a DF >32.

## **Clinical Pearl / High-Yield Fact**
A key point to remember is that for patients with severe alcoholic hepatitis (DF >32), corticosteroids like prednisolone are recommended. Additionally, it's crucial to assess for variceal bleeding risk before starting steroids and consider prophylaxis if necessary. The use of corticosteroids in this context is a significant prognostic factor for short-term mortality reduction.

## **Correct Answer:** . Prednisolone.