Thanks to all who replied to my question. I should say that this man is due for a liver biopsy in due course to exclude autoimmune hepatitis. Thanks also for those who pointed me to the article in NEJM 342(17) p1266-71. Worth a read for those who haven't come across it.
Thanks again
Shirley
Dr Shirley Spoors
Clinical Biochemist
Deputy Head of Department
Doncaster & Bassetlaw NHS Trust
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