However, at an office visit 4 days prior to admission, this patient had no prodromal signs or symptoms of hepatitis, and nothing in his travel or dietary history was suggestive of a risk for hepatitis A. In addition, hemolysis can cause a significant increase in AST and a more moderate increase in ALT owing to the release of these transaminases from the lysed RBCs [8]. The gene discussed is GPT; the disease is Hepatitis.