Abnormal liver function tests associated with severe rhabdomyolysis

Figure 1 Case example of elevated alanine aminotransferase level in a 25 year old male admitted to hospital with exertional rhabdomyolysis managed with intravenous normal saline for 48 h, showing the typical concurrent rise and fall of serum creatine kinase and alanine aminotransferase levels.

Figure 2 The association between serum creatine kinase and liver biochemistry. Cross-sectional data (n = 528) show a clear association between serum creatine kinase level as a marker of rhabdomyolysis and the serum alanine aminotransferase levels (C), but there is no correlation between serum creatine kinase and alkaline phosphatase (A), bilirubin (B) or γ-glutamyl transferase (D) (Figure adapted from Lim et al[6]).