She was readmitted with sinusitis, onychomycosis and elevated liver enzymes [γ-glutamyl transferase (γGT) 363 U/l, aspartate-aminotransferase (ASAT; or glutamate-oxaloacetate-transaminase (GOT)) 45 U/l, alanine-aminotransferase (ALAT, or glutamate-pyruvate-transaminase (GPT)) 75 U/l and alkaline phosphatase (AP) 90 U/l]. The gene discussed is GPT; the disease is tinea unguium.