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

Bilirubin: mg/dl; AST, ALT, and ALP: unit/lit; Alb: mg/dl.