Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website https://www.journalmc.org

Case Report

Volume 12, Number 8, August 2021, pages 315-318

Two Acute Liver Injuries in a Patient With Malnutrition

Figures

Figure 1.
Figure 1. Transaminase levels throughout the patient’s hospitalization, with peak levels of AST 750 U/L and ALT 638 U/L on hospitalization day 10, 2 days after refeeding was initiated. ALT: alanine aminotransferase; AST: aspartate aminotransferase.
Figure 2.
Figure 2. Liver biopsy on day 11 of hospitalization. Periotic acid-Schiff (PAS) stains without diastase, × 200. (a) Liver biopsy from the patient showing faint staining with PAS consistent with glycogen depletion, and an abundant amount of ceroid material pigments around the central veins. (b) Liver biopsy from a patient with normal glycogen stores for comparison.