24 August 2022: Articles
A 24-Year-Old Woman Presenting in the Third Trimester of Pregnancy with Nausea, Vomiting, and Abdominal Pain and Diagnosed with Acute Fatty Liver of Pregnancy
Management of emergency care, Rare disease
Waravudh Naothavorn A , Chatsaran Thanapongpibul B , Kanin Sriudomporn B , Chayatat Ruangkit B , Nantaporn Srivanitchapoom B , Nuttapat Tungtrongchitr A*DOI: 10.12659/AJCR.937085
Am J Case Rep 2022; 23:e937085
Table 1. Swansea criteria [3,15].
| Abdominal pain |
| Polydipsia or polyuria |
| Vomiting |
| Encephalopathy |
| Hypoglycemia |
| Bilirubin >0.8 mg/dL |
| Elevated uric acid >5.7 mg/dL |
| Ascites |
| ALT >42 U/L |
| White blood cell count >11×10/L |
| Ammonia >66 ug/dL |
| AKI or creatinine >1.7 mg/dL |
| PT >14 s or coagulopathy present |
| Bright liver on ultrasound |
| Liver biopsy showing microvesicular steatosis |
| AKI – acute kidney injury; ALT – alanine aminotransferase; PT – prothrombin time. |