An unusual cause of elevated liver function tests in an elderly female.

摘要

An 84-years-old female patient was admitted to a hospital from a nursing home in Hamburg (Germany) for the optimization of her insulin regimen for diabetes mellitus type 2. She further suffered from coronary heart disease, heart insufficiency NYHA III, cardiac arrhythmia, malignant melanoma, chronic obstructive lung disease, dementia and hypothyreosis. Her daily medication comprised a fixed insulin scheme, simvastatin, aspirin, clopido-grel, molsidomine, digitoxin, metoprolol, enalapril, furosemide, hydrochlorothiazide, spironolactone, pantoprazole, allopurinol, levothyroxine, oxazepam, acetylcysteine, as well as inhaled for-moterol. She had signs of diabetic polyneuropathia and was obese (body mass index 31).