Adrenal Insufficiency as a Cause of Acute Liver Failure: A Case Report

Table 2

Serology and toxicology results of the patient.

Test	Result	Unit	Reference range
Serum protein electrophoresis
Albumin	30.9	G/L	36–48
Alpha 1	2.8	G/L	1–3
Alpha 2	8.2	G/L	4–8
Beta	6.8	G/L	5–10
Gamma	11.1	G/L	7–13
Total	59.7	G/L	60–78
Serology
HAV Ab (I gM)	0.36		Negative: <0.9
HBS Ag	0.4		Negative: <0.9
HCV Ab	Negative
Hbc Ab	Negative
Immunofluorescence
Antinuclear Ab	1/50	Titer	Up to 1/100
Antimitochondrial Ab	1/50	Titer	Negative: <1/100
Antismooth muscle Ab	1/50	Titer	Negative: <1/100
Liver kidney microsomal Ab	1/50	Titer	Negative: <1/100
Drug monitoring
Phenytoin	Not detected	μg/mL	Toxic level: >20
Phenobarbital	Not detected		Toxic level: >40
Valproate	3.5		Toxic level: >101
Carbamazepine	1.72		Toxic level: >15