case_images: PMC5167460_01
case_images: Elevated liver enzymes with esomeprazole.. Abbreviations: ALT, alanine transaminase; AST, aspartate transaminase; ALP, alkaline phosphatase.
case_images: cpaa-8-199Fig1.jpg
case_images: PMC5167460_01_cpaa-8-199Fig1.jpg
case_images: f1-cpaa-8-199
case_images: Hospital - HMC emergency with acute epigastric pain, nausea, and nonbilious vomiting more than four times in last 24 hours. Her past medical history revealed that 3 weeks previously (considered as Day 0 in Figure 1), she was admitted to the hospital and was diagnosed as hyperemesis gravidarum and was later discharged on pyridoxine, metoclopramide, and esomeprazole. Laboratory investigation revealed significantly elevated ALT (267 Units/L) and AST (137 Units/L; Figure 1).