SERPINA1 and hyperinsulinemic hypoglycemia, familial, 4: There are some rare reports worldwide indicative of the coexistence of acute and chronic liver diseases, as seen in the case report of Warner and colleagues, which shows the coexistence of HH and AIH in a 57-year-old man16 and the case report of Glass and Dickson who presented a rare case of HH, WD, and alpha-1-antitrypsin deficiency.17 In terms of WD, the Leipzig scoring criteria for diagnosis was 6, which is suggestive of an established diagnosis of WD.