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. 2023 Mar 14;2023(3):CD015769. doi: 10.1002/14651858.CD015769
Category Severity Description
1 Mild Elevated ALT/ALP concentration reaching criteria for drug‐induced liver injury, but bilirubin concentration < 2 × ULN
2 Moderate Elevated ALT/ALP concentration reaching criteria for drug‐induced liver injury, and bilirubin concentration ≥ 2 × ULN, or symptomatic hepatitis
3 Severe Elevated ALT/ALP concentration reaching criteria for drug‐induced liver injury, bilirubin concentration ≥ 2 × ULN, and 1 of the following.
  • International normalized ratio ≥ 1.5

  • Ascites and/or encephalopathy, disease duration < 26 weeks, and absence of underlying cirrhosis


Other organ failure considered to be due to drug‐induced liver injury
4 Fatal or transplantation Death or transplantation due to drug‐induced liver injury