Yellow urticaria in a patient with decompensated alcoholic cirrhosis triggered by intravenous albumin infusion: A case report

Table 1 Laboratory results at admission

Parameter	Value	Reference range	Interpretation
Liver function
Total bilirubin (mg/dL)	10.5	0.2-1.2	↑ markedly elevated
Direct bilirubin (mg/dL)	7.2	0-0.3	↑↑ predominantly direct
Indirect bilirubin (mg/dL)	3.3	0.2-0.9	↑ elevated
ALT (U/L)	68	7-56	↑ mildly elevated
AST (U/L)	95	10-40	↑ elevated
ALP (U/L)	210	44-147	↑ elevated
GGT (U/L)	320	8-61	↑↑ markedly elevated
Albumin (g/dL)	2.2	3.5-5.0	↓ low - hepatic synthetic failure
INR	1.9	0.8-1.1	↑ coagulopathy
PT (seconds)	22	11-13.5	↑ prolonged
Renal function & electrolytes
Creatinine (mg/dL)	1.3	0.7-1.3	Upper normal
BUN (mg/dL)	28	7-20	↑ mildly elevated
Sodium (mEq/L)	132	136-145	↓ hyponatremia
Potassium (mEq/L)	4.1	3.5-5.1	Normal
Complete blood count
Hemoglobin (g/dL)	10.2	13.5-17.5	↓ anemia
Platelets (× 103/µL)	98	150-400	↓ thrombocytopenia
MCV (fL)	105	80-100	↑ macrocytosis
Coagulation & inflammatory markers
aPTT (seconds)	42	25-35	↑ prolonged
Fibrinogen (mg/dL)	180	200-400	↓ low
CRP (mg/L)	48	< 5	↑↑ significantly elevated
Ammonia (µmol/L)	72	9-33	↑ elevated
HBsAg/anti-HCV	Negative	Negative	—

ALT: Alanine aminotransferase; ALP: Alkaline phosphatase; aPTT: Activated partial thromboplastin time; AST: Aspartate aminotransferase; BUN: Blood urea nitrogen; CRP: C-reactive protein; GGT: Gamma-glutamyl transferase; INR: International normalised ratio; MCV: Mean corpuscular volume; HBsAg: Hepatitis B surface antigen; HCV: Hepatitis C virus; PT: Prothrombin time.