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Clinical course of the patient. Changes in serum alanine aminotransferase (ALT, ◆), total bile acid (TBA, ■), total bilirubin (T-Bil, ○), albumin (Alb, □), and gamma-glutamyl transpeptidase (GGT, •) levels. The patient was treated with prednisolone or rifampicin with ursodeoxycholic acid during the attacks. The lowest albumin level during the follow-up period was 3.3 g/dL.
