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Have Elevated ALT Levels, Brown Skin Rash On The Neck, Bottom Of Chest And On Bicep. Any Suggestions?

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Posted on Tue, 27 Nov 2012
Question: Hi,

I have elevated ALT levels and have brown skin rash on the sides of my neck, bottom of my chest and on my bicep. I need help with my condition.

Thanks,
XXXXXXX
doctor
Answered by Dr. Charles S Narasi (8 hours later)
Hello, XXXXXXX,
We have to go by a very limited information that you
have provided.
First of all, elevated ALT levels indicate some sort of
inflammation that is active in your liver. Hepatitis
can be caused by A,B,or C-types of viruses.
Type A usually clears itself and does not cause
chronic damage. However Type B and Type C both
can cause chronic liver disease. So, you need to be
tested for these through blood tests.
You mention about skin rashes. Hepatitis -C is
associated with skin rashes.
Autoimmune diseases such as Lupus can cause
skin rashes along with abnormal liver tests.
Alcoholic liver disease can be associated with abnormal
liver tests. Skin rash is generally not a part of it.
Drug induced liver damage can elevate ALT levels.
Hepatitis -C can be contracted by sexual contacts,
use of needles for drug abuse, blood transfusion from
contaminated blood, Tattoos from dirty needles,
sharing toothbrush (Contaminated) etc.
You need to have a complete liver profile and see
your doctor for further evaluation.
I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Charles S Narasi (1 hour later)
Hello Dr XXXXXXX

Thanks for your answer.

I did get my second blood test done a week back and they said there was no Hepatitis. However, every morning I wake up and I see white deposits under my neck. And I see on the sides of my neck. Do you think it is caused by insulin? This happens if I intake any fatty , starchy and sugary food as well. I am only sticking to proteins and greens as of now.

For the past few weeks, I have had food abuse and ended up flooding myself with all sorts of bad junk food. I stuffed myself basically. I am trying to detox myself with healthy food choices.

Thanks,

XXXXXXX
doctor
Answered by Dr. Charles S Narasi (4 hours later)
Hello, XXXXXXX,
If the Hepatitis blood tests were negative, you do need to
have special blood tests for autoimmune diseases.
This includes tests for SLE(Systemic lupus erythematosus).
Anti Nuclear Antibodies, antithyroglobulin antibody,
Antimicrosomal antibodies, Serum complement-C3 & C4.
Rheumatoid factor, ESR, cryoglobulins etc.
Skin lesions are not from Insulin.
Hope you can discuss these with your doctor.
Wish you well.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Charles S Narasi

Gastroenterologist

Practicing since :1962

Answered : 693 Questions

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Have Elevated ALT Levels, Brown Skin Rash On The Neck, Bottom Of Chest And On Bicep. Any Suggestions?

Hello, XXXXXXX,
We have to go by a very limited information that you
have provided.
First of all, elevated ALT levels indicate some sort of
inflammation that is active in your liver. Hepatitis
can be caused by A,B,or C-types of viruses.
Type A usually clears itself and does not cause
chronic damage. However Type B and Type C both
can cause chronic liver disease. So, you need to be
tested for these through blood tests.
You mention about skin rashes. Hepatitis -C is
associated with skin rashes.
Autoimmune diseases such as Lupus can cause
skin rashes along with abnormal liver tests.
Alcoholic liver disease can be associated with abnormal
liver tests. Skin rash is generally not a part of it.
Drug induced liver damage can elevate ALT levels.
Hepatitis -C can be contracted by sexual contacts,
use of needles for drug abuse, blood transfusion from
contaminated blood, Tattoos from dirty needles,
sharing toothbrush (Contaminated) etc.
You need to have a complete liver profile and see
your doctor for further evaluation.
I wish you well.