An autopsy case showing massive fibrinoid necrosis of the portal tracts of the liver with cholangiographic findings similar to those of primary sclerosing cholangitis

Table 1 Laboratory data

			d 1	d 38	d 48	d 54
Peripheral blood							Serological tests
WBC	/μL	(4500-8500)	8400	8800	9200	16900	IgG	mg/dL	(800-1800)	1629
Hemoglobin	g/dL	(13.5-16.5)	12.1	12.9	11.5	11.4	IgA	mg/dL	(130-290)	182
Platelet	× 104/μL	(15.0-35.0)	26.8	26.6	20.8	18.6	IgM	mg/dL	(100-180)	68
							C3	mg/dL	(70-100)	99
Coagulation tests							C4	mg/dL	(11-44)	46.5
Prothrombin time	%	(> 70%)	55	37	52	26	CH50	U/mL	(28-45)	44.6
Hepaplastin test	%	(> 70%)	90	44	57	38	Serum-Cu	μg/dL	(78-131)	247
Fibrinogen	mg/dL	(150-400)		158	176	160
							Viral markers
Blood chemistry							HBsAg			(-)
AST	IU/L	(10-30)	185	134	98	422	HCVAb			(-)
ALT	IU/L	(6-40)	126	91	59	174
LDH	IU/L	(160-325)	450	646	439	812	Auto antibodies
ALP	IU/L	(120-400)	1359	834	692	556	Anti nucleic antibody			(-)
LAP	IU/L	(105-235)		528	472	425	LE test			(-)
γ-GTP	IU/L	(4-70)	296	151	119	73	Anti DNA antibody			(-)
T-Bil	mg/dL	(0.1-0.8)	10.7	15.8	16.2	18.5	Anti SMA antibody			(-)
D-Bil	mg/dL	(0-0.3)	5		9.1	10.9	Anti mitochondrion antibody			(-)
TP	g/dL	(6.7-8.3)	6.4	6.3	5.2	4.9
Alb	g/dL	(3.5-5.2)	3.3	2.8	2.8	2.6	Tumor markers
TC	mg/dL	(120-220)	260	319	193	158	AFP	ng/mL	(1-15)	2
BUN	mg/dL	(8-20)		32	68	150	CEA	ng/mL	(5.8↓)	6.1
Cr	mg/dL	(0.5-1.1)	1.2	1.3	3.1	7.7	CA19-9	U/mL	(37↓)	2470
Serological test	mg/dL
CRP		(0-0.5)	1.8	1.3	1.5	8.8

D: hospital day; Underline: abnormal value.