Distinguishing hypoxic hepatitis from other types of hepatitis can be challenging.


Findings suggesting hypoxic hepatitis:

(1) presence of hypoxic injury in other organs, including acute tubular necrosis that causes an early rise in serum creatinine

(2) an early rapid rise in serum LDH

(3) a ratio of serum ALT to LDH < 1.5

(4) a rapid rise in ALT and AST followed by a rapid decline following appropriate management


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