Autoimmune Hepatitis with Concomitant Idiopathic Thrombocytopenic Purpura Diagnosed by Transjugular Liver Biopsy

Table 1

Laboratory data on admission.

Hematology
White blood cell	5,100	/μL
Red blood cell	482	106/μL
Hemoglobin	14.9	g/dL
Platelets	22	103/μL
Coagulation
PT%	95	%
PT-INR	1.03
APTT	26.1
Biochemistry
Albumin	3.9	g/dL
Total bilirubin	8.8	mg/dL
Direct bilirubin	6.0	mg/dL
AST	1,767	U/L
ALT	1,845	U/L
GGT	2,229	U/L
ALP	845	U/L
Amylase	39	U/L
BUN	10	mg/dL
Creatinine	0.7	mg/dL
eGFR	64.5	mL/min
CRP	0.8	mg/dL
TSH	0.363	μIU/mL
FT4	1.59	ng/dL
Immunology
IgG	2,042	mg/dL
IgM	105	mg/dL
IgG4	70	mg/dL
ANA	80	Dil
AMA (M2)	<1.5	Index
anti-LKM1 Ab	<5	Index
anti-thyroperoxidase Ab	10	IU/mL
anti-thyroglobulin Ab	11	IU/mL
anti-SSA Ab	<1.0	U/mL
anti-SSB Ab	<1.0	U/mL
PAIgG	208	ng/107 cells (normal range ≦46)
HLA-DR	DR4, DR15
Infectious Makers
HCVAb	(-)
HCV-RNA	(-)
HBsAg	(-)
HBcAb	(-)
HAV-IgM	(-)
HEV-IgA	(-)
HTLV-1 Ab	(-)
EBV-IgG	(+)
EBV-IgM	(-)
EBNA	(+)
CMV-IgG	(+)
CMV-IgM	(-)
VZV-IgG	(+)
VZV-IgM	(-)
HSV-IgG	(+)
HSV-IgM	(-)
H. pylori Ab	(+)

AST: aspartate aminotransferase; ALT: alanine aminotransferase; GGT: gamma-glutamyl transferase; ALP: alkaline phosphatase; BUN: urea nitrogen; eGFR: estimated glomerular filtration rate; CRP: C-reactive protein; TSH: thyroid stimulating hormone; FT4: free thyroxin 4; IgG: Immunoglobulin G; IgM: Immunoglobulin M; ANA: antinuclear antibody; AMA: antimitochondrial antibody; LKM1: antiliver/kidney microsome type 1; Ab: antibody; anti-SSA: anti-Sjögren’s syndrome antigen A; anti-SSB: anti-Sjögren’s syndrome antigen B; PAIgG: platelet-associated IgG; HLA: human leukocyte antigen; HCV: hepatitis C virus; HBsAg: hepatitis B surface antigen; HBcAb: hepatitis B core antibody; HAV: hepatitis A virus; HEV: hepatitis E virus; HTLV-1: human T-cell leukemia virus type 1; EBV: Epstein-Barr virus; CMV: cytomegalovirus; VZV: varicella zoster virus; HSV: herpes simplex virus; H. pylori: Helicobacter pylori.