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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sarcoid Condition, Infected Liver, Prednisolone, Alkaline Phosphatase 263, Alanine Aminotransferase 131, GAMMA GT 356

my Gastroenterologist has just sent me a letter after examination. I have a sarcoid condition which she says has infected my liver. I am currently on 20mg of Prednisolone for the sarcoid. Blood tests results below: Alkaline Phosphatase 263 Alanine Aminotransferase 131 GAMMA GT 356 ( Was 500 ) An ultrasound shows a normal Doppler of the portal vein although slightly dampened Can you explain the above ?. Thank you
Mon, 5 May 2014
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General & Family Physician,  's  Response
Hi Dear. I think it's Hepatic involvement of sarcoidosis .Although hepatic involvement usually is asymptomatic, however ones LFT could be deranged coz of chronic cholestatic disease, increase in pressure inside vein that carries blood to liver and cirrhosis .Glucocorticoid treatment is first-line therapy for hepatic sarcoidosis, that's is why your doctor has put you on prednisolone it will improve your general symptoms and abnormal laboratory values . just keep your medications regular and visit your concerning Doctor regularly .
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Sarcoid Condition, Infected Liver, Prednisolone, Alkaline Phosphatase 263, Alanine Aminotransferase 131, GAMMA GT 356

Hi Dear. I think it s Hepatic involvement of sarcoidosis .Although hepatic involvement usually is asymptomatic, however ones LFT could be deranged coz of chronic cholestatic disease, increase in pressure inside vein that carries blood to liver and cirrhosis .Glucocorticoid treatment is first-line therapy for hepatic sarcoidosis, that s is why your doctor has put you on prednisolone it will improve your general symptoms and abnormal laboratory values . just keep your medications regular and visit your concerning Doctor regularly .