Conditions involving macrophage-mediated ingestion or red cells: Hemophagocytic lymphohistiocytosis (HLH) Pernicious anemia Resorbing hematoma Conditions not associated with red cell destruction: Cirrhosis may also mimic hemolysis because the liver is responsible for synthesizing haptoglobin and hepatocytes release LDH, and AST may be elevated disproportionately to ALT, especially in alcoholic liver disease.