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Familial liver disease
  1. Y Reddy,
  2. Z Twaij,
  3. P D Mullins
  1. East Lancashire Hospitals NHS Trust, Blackburn, Lancashire, UK
  1. Correspondence to:
    Dr P D Mullins
    Acute Unit, Burnley General Hospital, East Lancashire Hospitals NHS Trust, Casterton Avenue, Burnley, BB10 2PQ, UK; pauld.mullins{at}

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Clinical presentation

A 52-year-old man presented with malaise and abnormal liver function tests: alanine aminotransferase 71 IU/ml (0–50), γ-glutamyltransferase 465 IU/ml (0–60), alkaline phosphatase 167 IU/ml (30–140), bilirubin 19 μmol (3–28). He had never …

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