Case Report
Seronegative Autoimmune Hepatitis A Clinically Challenging Difficult Diagnosis
Table 1
Liver function studies before and after initiation of treatment with oral prednisone therapy.
| Labs | Initial | Day before steroid therapy | Day 2 (steroid therapy) | Day 5 | Day 7 | 3 weeks | 4 weeks after therapy |
| Total bilirubin | 5.9 | 9.4 | 7.3 | 4.3 | 2.7 | 1.1 | 0.3 | Direct Bili | 3.7 | 8.0 | 6.3 | 3.6 | — | — | — | AST | 1,139 | 877 | 349 | 184 | 130 | 25 | 9 | ALT | 1,694 | 1,328 | 916 | 599 | 456 | 97 | 21 | ALP | 291 | 201 | 197 | 155 | 167 | 112 | 75 | INR | 1.09 | 1.20 | 1.08 | 1.03 | 0.90 | 0.95 | 0.95 | Alb | 3.6 | 2.9 | 3 | 2.9 | 3.6 | 3.4 | 3.6 |
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Bilirubin: mg/dl; AST, ALT, and ALP: unit/lit; Alb: mg/dl.
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