Autoimmune hepatitis-primary biliary cirrhosis concurrent with biliary stricture after liver transplantation

Table 1 Laboratory results on day 1 of hospital admission

Items	Values	Normal range		Abnormal
Liver function		LLN	ULN
T-bil (μmol/L)	555.06	0	17.1	↑
D-bil (μmol/L)	243.59	0	6.8	↑
ALB (g/L)	31.6	34	48
ALT (U/L)	196.3	5	40	↑
AST (U/L)	121.2	0	37	↑
ALP (U/L)	148	40	150
GGT (U/L)	92.1	8	61	↑
Blood coagulation
PT (s)	15.4	8.8	13.8	↑
INR	1.39	0.8	1.2	↑
PTA	55%	80%	120%	↓
APTT (s)	42.2	26	42	↑
TT (s)	19.4	10	18	↑
FIB (g/L)	1.88	2	4	↓
Immunological indexes
IgG (mg/dL)	2210	751	1560	↑
IgA (mg/dL)	230	82	453
IgM (mg/dL)	56.3	46	304
C3 (mg/dL)	382.6	79	152	↑
C4 (mg/dL)	416.5	16	38	↑

LLN: Lower limits of normal; ULN: Upper limits of normal; T-bil: Total bilirubin; D-bill: Direct bilirubin; ALT: Alanine transaminase; AST: Aspartate transaminase; ALP: Alkaline phosphatase; GGT: γ-glutamyl transferase; PT: Prothrombin time; INR: International normalized ratio; PTA: Prothrombin time activity; APTT: Activated partial thromboplastin time; TT: Thrombin time; FIB: Fibrinogen; IgG: Immunoglobulin G; IgA Immunoglobulin A; IgM: Immunoglobulin M; C3: Complement 3; C4: Complement 4.

Table 2 Laboratory parameters of liver function tests when hospitalized

Date	ALB	ALT	AST	ALP	γ-GT	T-bil	D-bil
	(g/L)	(U/L)	(U/L)	(U/L)	(U/L)	(μmol/L)	(μmol/L)
5/15/2013	36.1	196.3	121.2	148.0	92.1	555.06	243.59
5/22/2013	29.3	78.1	40.0	120.5	80.8	402.38	168.63
5/29/2013	30.3	78.9	38.0	126.6	113.7	394.12	189.85
6/3/2013	26.2	88.4	42.5	133.3	115.9	452.07	215.32
6/10/2013	29.3	90.6	40.1	130.4	126.7	383.22	189.22
6/18/2013	28.2	72.8	26.6	136.8	107.3	360.28	183.48
6/25/2013	24.9	112.8	29.3	139.0	88.6	387.34	184.84
6/28/2013	29.1	76.8	41.2	116.8	98.1	346.45	156.12
7/2/2013	34.4	103.5	67.0	126.3	124.3	363.45	169.51
7/9/2013	32.0	88.3	58.6	133.1	166.4	322.43	145.78
7/17/2013	32.9	94.3	56.5	134.5	233.8	306.58	176.52
7/24/2013	32.3	91.5	56.8	153.9	275.8	289.44	139.57
7/31/2013	30.8	69.9	40.5	131.1	240.8	212.71	103.69

ALB: Albumin; ALT: Alanine transaminase; AST: Aspartate transaminase; ALP: Alkaline phosphatase; GGT: γ-glutamyl transferase; T-bil: Total bilirubin; D-bill: Direct bilirubin.

Table 3 Laboratory parameters of liver function tests during monthly follow-up

Date	ALB	ALT	AST	ALP	γ-GT	T-bil	D-bil
	(g/L)	(U/L)	(U/L)	(U/L)	(U/L)	(μmol/L)	(μmol/L)
10/9/2013	32.2	79.3	43.8	135.5	478	50.1	23.45
11/14/2013	40.4	87	38	147	537	38.2	24.3
12/19/2013	40.3	82	41	142	481	29.2	14.7
1/14/2014	41.3	117	66	179	501	24.2	12.6
2/20/2014	39.9	92	49	153	422	27.2	12.5
3/20/2014	42.6	81	48	148	378	30.0	12.4
4/22/2014	43.3	71	37	163	373	23.1	8.5
5/22/2014	43.3	72	36	131	352	25.6	10.3
6/26/2014	42.7	72	40	154	313	27.3	10.3

ALB: Albumin; ALT: Alanine transaminase; AST: Aspartate transaminase; ALP: Alkaline phosphatase; GGT: γ-glutamyl transferase: T-bil: Total bilirubin; D-bill: Direct bilirubin.