Giant cell hepatitis with autoimmune hemolytic anemia in a nine month old infant

Table 1 Biological findings before and after treatment (prednisone + azathioprine)

	J1 of hospitalization	J10 of hospitalization	J17 treatment	J60 treatment
Leucocytes (elements/μL)	12400	19800	23300	27800
PNN (%)	77	42	60	57
Hemoglobin (g/dL)	9.3	6.8	11.4	10.4
MCV	79.9	86.6	85.4	96.6
Reticulocytes (elements/μL)	114000	17600	92300	184000
Platelets (elements/μL)	71000	7000	153000	152000
SAT/ALT (UI/L)	1020/810	1430/1886	368/600	1310/522
Total bilirubin	101	425	190	425
Direct bilirubin (μmol/L)	82.6	122	78	291
GGT (UI/L)	170		122	34
PT (%)	55	51	70	20
CRP (mg/L)	42	-	12	20
AFP (ng/mL)	179		29	29.63
LDH (UI/L)	2089	1092	400	-
Haptoglobin (g/L)	0.6	0	-	-
DCT	-	+ à IgG/C3d	-	+ à IgG/C3
Ferritinemia (ng/mL)	163	-	-	-
Fibrinogen (g/L)	3.3	-	-	-
Triglycerides (mmol/L)	3.99	-	-	-

PNN: Polynuclear neutrophils; MCV: Mean corpuscular volume; SAT: Serum aspartate transaminase; ALT: Serum alanine amino transferase; GGT: Gamma glutamyl transpeptidase; PT: Prothrombine time; CRP: C reactive protein; AFP: Alpha fetoprotein; LDH: Lactate deshydrogenase; DCT: Direct Coombs’ test; IgG: Immunoglobulin G.