Table 1. Results of laboratory tests in four patients with HBV-associated acute liver failure.
Massive Hepatic Necrosis (MHN) | Submassive Hepatic Necrosis (MHN) | |||||||
Patient 241 | Patient 31 | Patient 219 | Patient 32 | |||||
Variable | On Admission | Before OLT | On Admission | Before OLT | On Admission | Before OLT | On Admission | Before OLT |
Platelet count (per mm3) | 90,000 | 93,000 | 119,000 | 196,000 | 192,000 | 91,000 | 109,000 | 141,000 |
Creatinine (mg/dL) | 0.6 | 1.0 | 0.9 | 0.8 | 2.6 | 3.7 | 1.0 | 1.0 |
Prothrombin time (INR) † | 11.0 | 4.5 | 6.7 | 4.6 | 11.5 | 4.6 | 4.4 | 2.5 |
Bilirubin (mg/dL) | ||||||||
Total | 9.8 | 20.6 | 8.9 | 10.8 | 5.2 | 10.4 | 11.7 | 13.6 |
Conjugated | 2.2 | 4.3 | 2.3 | 3.2 | 4.5 | 10.2 | 6.9 | |
Aspartate aminotransferase (U/L) | 4,000 | 34 | 9,793 | 924 | 4,565 | 194 | 6,544 | 1,114 |
Alanine aminotransferase (U/L) | 5,700 | 252 | 7,573 | 2,537 | 4,710 | 762 | 11,630 | 2,402 |
Alkaline phosphatase (U/L) | 167 | 542 | 401 | 326 | 291 | 296 | 290 | |
Lactate dehydrogenase (U/L) | 1,460 | 603 | 4,972 | 449 | 1,411 | 822 | 6,481 | 846 |
γ-Glutamyltransferase (U/L) | 27 | 80 | 47 | 39 | 36 | 165 | 109 | |
Alphafetoprotein (ng/mL) ‡ | 2.5 | 1.21 | 3.5 | 105.5 | ||||
Serology for viral hepatitis A, C, D | Negative | Negative | Negative | Negative | ||||
HBsAg | Positive | Negative | Positive | Positive | Positive | NA | Borderline | Negative |
Concentration (µg/mL) | 1.74 | |||||||
Anti-HBs (mIU/mL) | 0.6 | 67.7 | 0 | 0 | 15.3 | 5.9 | 8.0 | |
Anti-HBc | Positive | Positive | Positive | Positive | Positive | NA | Positive | Positive |
IgM anti-HBc | Positive | Positive | Positive | Positive | Positive | NA | Positive | Positive |
HBeAg | NA | Negative | Negative | Negative | Positive | NA | Negative | Negative |
Anti-HBe | NA | Positive | Borderline | Positive | Positive | NA | Positive | Positive |
HBV DNA (copies/mL) | 760 | 291 | 218,000 | 19,284 | 185,000 | 7,500 | ||
HDV RNA | Negative | Negative | Negative | Negative | ||||
HCV RNA | Negative | Negative | Negative | Negative |
To convert the values for creatinine to µmol/L, multiply by 88.4; to convert the values for total and conjugated bilirubin to µmol/L, multiply by 17.1.
Normal range, 0.80 to 1.20 international normalized ratio (INR).
Normal range, <10.0 ng/mL. NA denotes not available.