However, the specimen was anicteric and the icteric
index was 1 (approximately 1 mg/dL or 17 [micro]mol/L).
We report a case of hepatitis E in a 60-year-old man born and living in Vicenza, Italy, who was admitted to the Emergency Department of Vicenza Hospital on May 9, 2012 with symptoms of acute icteric
Halegoua-De Marzio, the patient's physical examination showed normal mental status, icteric
sclera, mild abdominal distension and lower extremity edema.
Overview of monitoring advice and cut-off levels for DILI according to existing guidelines Monitoring in the presence of risk factors (especially Cut-off levels for DILI Authority liver diseases) and stopping drugs ATS  Yes ALT >200 IU/l, or ALT >120 IU/l with symptoms BTS  Yes ALT or AST >200 IU/l, rise in bilirubin ERS, WHO, IUATLD  -- ALT or AST >200 IU/l, icteric
patient HKTBS  Yes ALT >200 IU/l, bilirubin >40 [micro]mol/l DILI = drug-induced liver injury; ALT = alanine transaminase; AST = aspartate transaminase; ATS = American Thoracic Society; BTS = British Thoracic Society; ERS = European Respiratory Society; WHO = World Health Organization; IUATLD = International Union Against Tuberculosis and Lung Disease; HKTBS = Hong Kong Tuberculosis Service.
1 mg/dL (diazo method, DxC 800 analyzer, Beckman Coulter, Brea, California) but discordant icteric
indices (eg, index = 4, corresponding to 4.
Her physical examination (PE) findings were as follows: body temperature: 37[degrees]C, pulse rate: 90 bpm, blood pressure (left brachial): 135/70 mm Hg, and impaired consciousness, confusion, pale and icteric
skin without rash or lymphadenopathy (LAP).
Testing was also performed on five icteric
, five hemolyzed, and five lipemic serum specimens, and no reactivity was observed.
The patient was icteric
and abdominal examination revealed a solitary mass in the upper mid-abdomen which was oval in shape and measuring 15 cm vertically and 10 cm horizontally.
She is no longer icteric
and is off all medications except a very low dose of Xibron drops.
Death is virtually limited to icteric
cases and in severe cases the mortality may be as high as 15-40%.
phase, of approximately 3 weeks, is marked by jaundice and begins with yellow discolouration of the mucous membranes, conjunctivae, sclera and skin, dark urine and pale stools.
Two general clinical patterns of disease, anicteric and icteric
forms are recognized.