Table 1.

Blood results during the initial presentation with acute hepatitis A infection, resolution of this infection, re-presentation and following immunosuppression. During the acute hepatitis A infection, the abnormal bilirubin and ALT continued to improve towards normal at the point of discharge. During re-presentation, a new increasing trend of elevated ALT was seen with normal bilirubin and a mild, isolated elevation in IgG. Treatment with immunosuppression correlated with normalisation of both ALT and IgG. ALT, alanine transaminase.

	During acute hepatitis A infection			Point of discharge		Re-presentation			Treatment with immunosuppression
	August–September					October–November			December–May
Bilirubin (µmol/L) (normal 0.0–20.0)	162	54	39	23	17	7	8	11	8	4
ALT (IU/L) (normal 10–50)	2426	528	273	105	62	314	455	474	32	20
Immunoglobulin A (g/L) (normal 0.7–4.0)						3.98			3.2	3.2
Immunoglobulin G (g/L) (normal 7.0–16.0)						17.01			12.1	13.5
Immunoglobulin M (g/L) (normal 0.4–2.3)						1.31			1.7	1.5

ALT, alanine transaminase.