GPT and Pancytopenia: Laboratory testing at admission showed pancytopenia, hypoalbuminemia, conjugated hyperbilirubinemia (total, 8.7 mg/dL; conjugated, 5.0 mg/dL) and elevated levels of alanine aminotransferase (ALT) (277 U/L), aspartate aminotransferase (AST) (809 U/L), alkaline phosphatase, and lipase (292 U/L).