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An AST: ALT ratio 1 mg/dL) are uncommon following acetaminophen overdose (unless fulminant hepatic failure is established)

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New York: McGraw-Hill, 31113128

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Typical for LCHAD deficiency is the increased risk for female heterozygous carriers to develop hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome and acute fatty liver of pregnancy (AFLP) [135, 136]