34 year old lady. 31/40 pregnant. Itching.
Hepatitis A positive (family contact)
Bilirubin = 10 umol/l
ALT = 299 U/l
GGT = 99 U/l
Alk Phos = 691 U/l
AST = 130 U/l
Albumin = 27 g/l
BILE ACIDS = 23.5 umol/l (ref range uo to 10)
Question. Elevated bile acids due to Hep A and/or obstetric cholestasis?
?Requires ursodeoxycholic acid treatment.
Thanks
Rob
Dr Robert Lord
Department of Clinical Biochemistry
Rotherham District General Hospital
Moorgate Road
Oakwood
Rotherham
S60 2UD
Tel 01709 820000
E mail [log in to unmask]
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