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What Causes Elevated Liver Enzymes?

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Posted on Thu, 18 Feb 2016
Question: My 14 year old daughter was just dx'd with diabetes and will be taking insulin.
Her A1C is 10
She also showed very high ALT and
AST
AST=81
ALT=142

She is having an ultrasound of liver on Monday to check for fatty liver. But what else could this mean?
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (33 minutes later)
Brief Answer:
Some information:

Detailed Answer:
Hello and welcome,

Given your daughter's weight, I would suspect fatty liver as being higher on the list of possible causes for her elevated liver enzymes.

But other possible causes of liver enzyme increases are anything that can irritate or inflame the liver. In a teenager, these include infections such Epstein-Barr (mono) and CMV (cytomegalovirus which sometimes presents like mono), and autoimmune hepatitis.

There are tests for all of these things, and they may have already been drawn, or may be pursued depending on the results of the liver ultrasound.

I am sorry your daughter has been sick and hope she will be better soon. Please let me know if I can provide further information or clarification.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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What Causes Elevated Liver Enzymes?

Brief Answer: Some information: Detailed Answer: Hello and welcome, Given your daughter's weight, I would suspect fatty liver as being higher on the list of possible causes for her elevated liver enzymes. But other possible causes of liver enzyme increases are anything that can irritate or inflame the liver. In a teenager, these include infections such Epstein-Barr (mono) and CMV (cytomegalovirus which sometimes presents like mono), and autoimmune hepatitis. There are tests for all of these things, and they may have already been drawn, or may be pursued depending on the results of the liver ultrasound. I am sorry your daughter has been sick and hope she will be better soon. Please let me know if I can provide further information or clarification.