Thank you for your query on Healthcare Magic.
This raise of ALT to 61 looks insignificant clinically.
But positive ANA test needs further evaluation.
Positive ANA is seen in most of the autoimmune diseases like lupus
, rheumatoid arthritis
, and other rheumatological problems.
So further blood tests are required to look for these causes depending on your medical history.
Therefore I suggest you to consult a rheumatologist
for further advice.
Hope I have answered your query.