Clinical classification |
Acute hepatocellular injury |
Injury predominantly to hepatocytes |
Markedly elevated ALT |
Mildly elevated alkaline phosphatase |
Cholestatic injury |
Injury to bile ducts or the mechanisms affecting flow of bilirubin from serum to bile |
Disproportionately elevated alkaline phosphatase |
Mixed injury |
Features of both acute hepatocellular injury and cholestatic injury |
Pathogenic classification |
Intrinsic hepatotoxins |
Direct chemical reactions |
Predictable |
Idiosyncratic reactions |
Unpredictable |
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