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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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ALT 425,fever,swollen Liver,itchy Skin

My friend has a massively high ALT reading (425) and is going for an emergency liver scan today. She had flu like symptoms for three weeks with persistent high temperature. The liver area is slightly swollen but despite the high reading she feels slightly better. She works in a Doctor s surgery so is more than usually exposed. We are obviously concerned and I understand it is unwise to speculate but just wondered if there is any opinion on this. The only other symptom is a strange one – her skin feels very itchy?
Fri, 28 Mar 2014
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General & Family Physician 's  Response
Hi,
Thanks for asking.
High ALT is usually an indication of blockage of some sort in the gall bladder duct, usually because of stones. Fever and pain in liver area could be signs of acute infection of the Gall Bladder.
What about the SGOT and SGPT; they should be raised in any viral infection involving the liver. You can get her U.sound along with complete Liver function tests before going for Liver scan.

Hope this will help you.
Your further queries in this regard are welcome,

Dr. Azeem,
MBBS, MCPS,
MRCGP
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ALT 425,fever,swollen Liver,itchy Skin

Hi, Thanks for asking. High ALT is usually an indication of blockage of some sort in the gall bladder duct, usually because of stones. Fever and pain in liver area could be signs of acute infection of the Gall Bladder. What about the SGOT and SGPT; they should be raised in any viral infection involving the liver. You can get her U.sound along with complete Liver function tests before going for Liver scan. Hope this will help you. Your further queries in this regard are welcome, Dr. Azeem, MBBS, MCPS, MRCGP