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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Elevated ALT And AST. High CPK Level. Reason?

my son is 20 months now he is very active and reaching all milestones. three months before we went for a general checkup at that time doctor said your son is not improving height and weight and head circumference too. so we had a blood test in that test everything was normal except his alt and ast slightly elevated.so he referred GI specialist.we went to GI 4 days before.He did some tests and told your sons total cpk value is 4588 U/L. so i am suspecting this may cause MD in future.so he referred to neurologist.i am very confused he is normal then why his cpk level is high.
Mon, 5 Aug 2013
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Pediatrician,  's  Response
Hi,

Thank you for your query on Healthcare Magic.

CPK is usually elevated in conditions such as Duchene's Mucsular Dystrophy and other muscle related problems.

Liver enzymes also elevated in problems of liver and AST is elevated in muscular problems.

What about his mile stones?

Is he walking without any support?

Any family members are suffering with any neuro related or muscular related problems?

Complete examination, assessment of neurological state, and further investigations like MRI brain and muscle biopsy is important to come to a conclusion.

Consult the pediatric neurologist for further evaluation.

Hope I have answered your query.

Regards.
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2 Doctors agree with this answer

Pediatrician,  Dr. Y V Siva Sankara Murty's  Response
Hi,

Thanks for writing to health care magic.
I can understand your concern.

Further details are required to answer your query better.

Does any body in the family have any significant problem like difficulty in walking or getting up.
Can your child get up from sitting position? Does your child walk now?
What is his current weight?

Continue to ask further queries as required.
Hope this helps.
Take care.
Dr Y V Siva Sankara Murty
M.D.(Pediatrics)
Associate Professor of Pediatrics
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Child Has Elevated ALT And AST. High CPK Level. Reason?

Hi, Thank you for your query on Healthcare Magic. CPK is usually elevated in conditions such as Duchene s Mucsular Dystrophy and other muscle related problems. Liver enzymes also elevated in problems of liver and AST is elevated in muscular problems. What about his mile stones? Is he walking without any support? Any family members are suffering with any neuro related or muscular related problems? Complete examination, assessment of neurological state, and further investigations like MRI brain and muscle biopsy is important to come to a conclusion. Consult the pediatric neurologist for further evaluation. Hope I have answered your query. Regards.