Thank you for your query.
Though your daughter has been diagnosed with ALL in 2002 she must be in regular follow up with the hematologist/oncologist
since then. I hope the blood counts are normal. With the history being given by you and the elevated ALT
levels I believe that your daughter needs to be clinically re-evaluated by the hematologist/oncologist and a bone scan be done to rule out any relapse of ALL.
I hope I have answered your query to your satisfaction.
Wishing your daughter an early recovery.