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Blood work of child shows high liver enzymes, bruising all over, no pain. What could be wrong?

My little girl has been to the dr. For blood work a couple of time because her liver enzymes are 84 an she is only 4 now she is brusing all over they dont hurt but im worried what could be goin on ... every time she checked her blood work her liver enzymes were always high she hasn't been sicm or anything just has leg problems
Asked On : Sun, 14 Apr 2013
Answers:  3 Views:  50
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

Elevated liver enzymes along with spontaneous bruises over body in a four year old indicates a problem in liver and biliary tract.
The involvement of liver can be secondary to the biliary tract disease.
Have you got the coagulation profile consisting of bleeding time, PT, aPTT, TT and INR.
If you haven't consult your doctor for these tests.

Spontaneous bruising indicates deficiency of coagulation factors in body.
There are four coagulation factors which are required vitamin K for complete activation.
A deficiency of Vitamin K can also lead to similar picture.

A complete nutritional assessmenmt also needs to be done by the pediatrician.

Thanks and take care.
Dr Shailja P Wahal
Answered: Sun, 14 Apr 2013
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Pathologist and Microbiologist Dr. Sangita's  Response
From your history its not very clear what symptoms does she have .What test were done .As she is bruising you should meet pediatrician and if reqd dermatologist for detailed investigations CBC , coagulation profile ,BT CT etc raised SGPT alone will not cause bruising .So reason of bruising should be looked for.
Answered: Sun, 14 Apr 2013
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Orthopaedic Surgeon Dr. Sunil Kumar Srivastava's  Response
GEt Prothrombin time,,BT?CT ,Platelet and complete blood count.Also ANA test, Australia antigen,Hepatitis c,serum protiens
Is there bleeding tendency also? what is complete report of liver function test?
Auto-immune disease should also be ruled out

Answered: Sun, 14 Apr 2013
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