The MELD score was 15.0, MELD-Na 17.0, HE predicting 34.19, total bilirubin (T-Bil) 4.18 mg/dL, AST 1053 U/L, ALT 971 U/L, PT-INR 1.52, and hepatocyte growth factor (HGF) 1.12 ng/mL. The gene discussed is GPT; the disease is hereditary elliptocytosis.