Clinico-biochemical pattern in acute anicteric hepatitis

A clinico-biochemical study of 37 cases [19 adults, 18 children] of anicteric hepatitis is presented. Clinical features were non-specific, nausea/vomiting, generalized aches and anorexia were the leading symptoms. Transaminases were significantly high in both the groups, thus helping in early diagnosis. Mean values were notably higher in children as compared to the adult group. Phosphatase was normal or moderately elevated. Total bilirubin levels were higher inchldren than in adults; the ratio of conjugated to un-conjugated bilirubin was more than 0.8 in all the cases of anicteric, irrespective of age and sex, thus emphasizing on its importance in diagnosis. DeRitis ratio was of some diagnostic value in children only