We compared the weights of the brain, heart, spleen, lungs, liver, and
kidneys, uncorrected and corrected for body surface area (BSA) and bo
dy mass index (BMI), of 50 alcoholics with 50 forensic controls matche
d for sex, age, and body weight. With the exception of combined renal
weight corrected for BSA and BMI, no significant differences were foun
d in organ weights between the two groups. Glomerular diameter correct
ed for BSA was significantly greater in alcoholics than controls. It a
ppears that nephromegaly and glomerulomegaly are both population marke
rs for alcoholism. In alcoholics, there was no correlation between the
microscopic degree of steatosis and glomerulomegaly. In controls, ren
al glomerular diameter was greater with increasing severity of hepatic
steatosis, probably as a reflection of obesity.