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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Elevated Levels Of Liver Enzymes, Blood Sugar And Low Creatinine With Ridges On The Tonsils

I recently had blood work showing elevated liver enzymes, elevated blood sugar, and low creatinine. I have also recently noticed horizontal ridges on my toenails. I am a 57-year-old female. I was hospitalized last summer with an unknown diagnosis when released (possibly auto-immune related I was told). Any idea if I should follow up, and if so with what type of doctor?
Tue, 5 Apr 2016
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General & Family Physician,  's  Response
Hi ....
Noted here you have increase sugar and elevated liver enzymes.
First rule out metabolic syndrome by doing serum cholesterol estimation, waist circumference, blood pressure...
By high cholesterol fatty liver might be there USG useful for it...

Which autoimmune disease doctor suspecting?
For SLE ANA profile done.
For rheumatoid arthritis RA factor .
For sjogren syndrome Anti ro estimation can done..
For celiac disease antiendomysial antibody detection done...
For hashimoto thyroid profile with FNAC needed.

So for that consult physician first then according to physical examination further work up done according to suspicion...

Take care.
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Suggest Treatment For Elevated Levels Of Liver Enzymes, Blood Sugar And Low Creatinine With Ridges On The Tonsils

Hi .... Noted here you have increase sugar and elevated liver enzymes. First rule out metabolic syndrome by doing serum cholesterol estimation, waist circumference, blood pressure... By high cholesterol fatty liver might be there USG useful for it... Which autoimmune disease doctor suspecting? For SLE ANA profile done. For rheumatoid arthritis RA factor . For sjogren syndrome Anti ro estimation can done.. For celiac disease antiendomysial antibody detection done... For hashimoto thyroid profile with FNAC needed. So for that consult physician first then according to physical examination further work up done according to suspicion... Take care.