One subject, a female, 30 years old, pregnant, serum bilirubin 17 mg/dL, ALT 3120 units/L, MELD score 45, HE grade IV, GCS <8, INR 4.12 and creatinine 5.1 mg/dL, died on the third day in the ICU. Here, GPT is linked to hereditary elliptocytosis.