A 27-year-old man was admitted because of jaundice, ascites, and consciousness disturbance. Lab tests showed prolonged prothrombin time (PT-INR 2·1) and raised serum total bilirubin (9·5 mg/dL). After diagnosis of acute liver failure, he received plasma exchange. His plasma was observed under ultraviolet A by the side of the washstand in the intensive care unit. What is the underlying disease causing acute liver failure?
A) Acute hepatitis A
B) Adult-onset type 2 citrullinaemia
C) Erythropoietic protoporphyria
D) Wilson’s disease
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