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However, she did continue to drink alcohol, consuming up to three beers a day. This pregnancy was initially uneventful. At 24 weeks an ultrasound was performed which showed the presence of gallstones once more, a liver that was inhomogenous in texture big plump women and a slightly enlarged spleen. AST was 115 U/L and ALT was 304 U/L. Prothrombin time and bilirubin were normal. Blood count showed that the hemoglobin big plump women was normal; the white cell count was big plump women minimally low at 3.9 x 109/L and the platelet count was 109 x 109/L. Further testing showed that HBeAg remained positive. She was HBV DNA positive and HCV RNA negative. Anti-hepatitis D antibody was negative, but anti-hepatitis C antibody was positive. No specific therapy was given, but the patient was followed closely during the remainder of the pregnancy. She was advised against alcohol consumption and appeared to comply.
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