An Unusual Case of Dietary-Induced Liver Injury during Pregnancy: A Case Report of Probable Liver Injury due to High-Dose Turmeric Intake and Literature Review

Table 1

Laboratory and imaging results.

Investigations	Results	Comments	Normal levels
Hemoglobin	120 g/l	Within normal range	98–137 g/L
Platelets	209 × 10e^9/L	Within normal range	150–400 × 10e^9/L
White cell count	10.4 × 10e^9/L	Within normal range	5.9–16.9 × 10e^9/L
Serum sodium	137 mmol/L	Within normal range	133–139 mmol/L
Serum potassium	4.0 mmol/L	Within normal range	3.7–4.7 mmol/L
Urea	2.8 mmol/L	Within normal range	0.9–4.5 mmol/L
Creatinine	34 μmol/L	Within normal range	20–90 μmol/L
Alanine aminotransferase	734 U/L	Abnormal	<35 U/L
Alkaline phosphatase	175 U/L	Abnormal	35–127 U/L
Gamma-glutamyl transferase	40 U/L	Within normal range	8–78 U/L
Total bilirubin levels	4 μmol/L	Within normal range	0–15 μmol/L
Unconjugated bilirubin	4 μmol/L	Within normal range	0–10 μmol/L
Cytomegalovirus Ab.IgM	Not detected
EBV VCA IgM antibodies	Not detected
Hepatitis profile (A, B, C, D, E)	Negative
HSV IgM total antibodies (EIA)	Not detected
Coagulation profile	Within normal range
ANA screen	Negative
Smooth muscle Ab	Negative
Mitochondrial Ab	Negative
Liver kidney microsome Ab	Negative
Extractable nuclear Ab screen	Negative
HIV serology	Negative
dsDNA Ab (Farr) interpretation	Negative
Urine analysis	Unremarkable
Urine protein/creatinine ratio	11.7	Negative	<30 mg/mmol
Gliadin peptide (DGP) IgG	1.2 U/ml	Negative	0–20 U/mL
Abdominal ultrasound	Unremarkable	Incidental 16 mm echogenic lesion within segment VIII has sonographic appearances of a probable benign haemangioma. No cause found for patient’s raised LFTs
		Gallbladder contains mobile debris, no sonographic evidence of cholelithiasis or cholecystitis
MRI cholangiogram		No biliary dilatation or choledocholithiasis. Cystic pancreatic lesions are compatible
		With side-branch IPMN, with no worrisome features on this study
Obstetric ultrasound		Normal growth and wellbeing
		EFW is on the 29^th percentile with normal fetal movements, AFI and Doppler