GPT and Thrombocytopenia: Diagnostic assessment: her biological assessment showed hepatic failure with thrombocytopenia: 91,300, low TP: 35.5%; total bilirubin: 50 IU/l; low albumin level at 21.8 g/dl;  Alanin aminotransferase (ALT), Aspartate aminotransferase (AST): 61/46 IU/l and hyperammoniemia (81.11 mmol/l) (Table 1).