ANCA-Associated Intrahepatic Duct Injury Associated with Levamisole-Adulterated Cocaine

Table 1

Pertinent laboratory values.

Laboratory test	Values at presentation	Values at discharge	Reference values
Total bilirubin	13.0	2.6	(0.2–1.0 mg/dL)
Direct bilirubin	11.1		(0.0–0.2 mg/dL
Alkaline phosphatase	520	233	(45–117 units/L)
AST	196	196	(15–37 units/L)
ALT	235	235	(16–61 units/L)
PT	10.3		(9.0–12.5)
INR	1.0		(1.0–1.5)
Anti-MPO (p-ANCA)	>100		(0.0–9.0)
p-ANCA^¶	1 : 80		(<1 : 20)
Antiproteinase 3 (c-ANCA)	8.7		(0.0–3.5)
c-ANCA	<1 : 20		(<1 : 20)
Anti-α-SMA	14		(0–19)
Anticentromere	7.3		(0.0–0.9)

AST: aspartate aminotransferase; ALT: alanine aminotransferase; PT: prothrombin time; INR: international normalized ratio; MPO: myeloperoxidase; ANCA: antineutrophil cytoplasmic antibodies; SMA: smooth muscle actin. By enzyme immunoassay. ^¶By indirect immunofluorescence assay.