Acute Fatty Liver

Swansea criteria:

At least six of:

  • Abdominal pain
  • Vomiting
  • Polydipsia/polyuria
  • Encephalopathy
  • WBC >11
  • Bilirubin >14
  • ALT/AST >42
  • Ammonia >47
  • Urate >340
  • Hypoglycaemia
  • Coagulopathy
  • Creatinine >150
  • Ascites or bright liver on ultrasound
  • Steatosis on biopsy