Synthetic Cannabinoid Abuse and a Rare Alpha-1-Antitrypsin Mutant Causing Acute Fulminant Hepatitis: A Case Report and Review of the Literature

Table 1

	Patient result	Normal range
Total bilirubin	20.4	0.2–1.0
Direct bilirubin	15.1	0.0–0.3
Indirect bilirubin	5.3	1.0–0.7
ProTime	15	10.0–13.2
INR	1.29	0.9–1.2
AST	1031	12–37
ALT	1922	12–78
Alk. phos.	123	12–176
ANA	Negative	Negative
ASMH	27	Negative, 0–19
		Weakly positive, 20–30
		Strongly positive, >30
Ceruloplasmin	23.2	16.0–31.0
Hereditary hemochromatosis mutation	Negative	Negative
Acetaminophen	<2	10–30