Fulminant Wilson’s Disease Managed with Plasmapheresis as a Bridge to Liver Transplant

Table 1

Trend of laboratory values before and after liver transplant.

	Day 1	Day 3	Day 5	Day 6	Day 7; (transplant)	Day 8	Day 13	Day 27	Day 53
Hemoglobin; (11.2–15.7 g/dL)	11.2	9.6	4.2	9.1	8	7.3	9.5	11.2	12.4
Hematocrit; (34–45%)	34.9	30	14.8	26.8	23.8	20.8	30.4	34.1	36.8
MCV; (79–98 fL)	99	101	131	96	93	89	91	93	90
Platelet; (155–369 k/uL)	202	166	162	88	50	32	123	320	238
WBC; (3.7–10.3 k/uL)	15.9	14.2	38.1	19.2	7.6	6.4	9.7	11.5	9.7
BUN; (7–21 mg/dL)	15	19	41	18	17	15	33	28	19
Creatinine; (0.60–1.10 mg/dL)	0.78	1.2	2.63	1.54	1.52	1.13	1.89	1	0.84
Sodium; (136–145 mmol/L)	135	136	134	141	143	140	139	140	138
Potassium; (3.7–4.8 mmol/L)	4.5	4.3	5.6	4.3	3.9	3.4	3.5	4.3	3.8
AST; (11–32 U/L)	159	150	187	323	626	347	57	41	16
ALT; (8–33 U/L)	89	19	11	230	518	340	122	49	32
Alkaline phosphatase; (52–144 U/L)	47	44	<5	6	28	22	85	70	43
Total bilirubin; (0.2–1.1 mg/dL)	3.4	6.4	32.9	17.2	7.6	4	1.8	0.9	0.4
Albumin; (3.3–4.6 g/dL)	2.1	2	3.2	2.7	2.4	2.4	2.2	3.7	4.1
INR	1.9	2.1	3.8	4.8	1.8	1.4	1	1	1