Female 43 years

Recently returned from Bangladesh. Jaundice, high ALT

Female 53 years

Jaundice, high ALT 1000, bili 380 high IgG34 (n<16), smooth muscle antibodies +ve

Female 18 years

Tiredness, abnormal liver tests. ALT 492 (<40); alk phos 225 (70-300); bili 52 (2-21) IgG 38; Anti nuclear Antobody +ve

Male 63 years

Previous biopsy 3 years ago - diagnosis autoimmune hepatitis. Recent decompensation. H&E and shikata stains

Female 61 years

Obesity, hypertension, diabetes, low alpha 1 antitrypsin

Male 28 years

Hepatitis B, raised ALT, ? treat

Male 33 years

Hepatitis C, alcohol excess, bili 131. Positive alcohol blood level. H&E and van Gieson stains

Male 49 years

8 months ago had a biopsy very like case 7. Now abstinent but liver failure; transplanted - this is the explant liver

Female 65 years

Diabetes on insulin/hypertension. Previous open cholecystectomy. Positive smooth muscle antibodies. Imaging suggestive of cirrhosis - duct dilatation on imaging. No previous history of liver disease. Needs liver biopsy to find aetiology - NAFLD, autoimmune or secondary biliary cirrhosis

Male 37 years

Alcohol-related liver cirrhosis (moderate drinker). Work-up for transplant. Abstinent from alcohol?

Male 74 years

Hepatitis C, PCR +ve. Need to assess for further management

Male 37 years

Day 36 post liver transplant for alcoholic liver disease. Admitted from clinic with very abnormal LFTs. ALT 71, bili 132, alk phos 3140

Male 53 years

Jaundice. ? mets on ultrasound