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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated ALT And AST Levels In A Child Having HSP?

My 9 yr old daughter had HSP back in April and in May had blood tests since the virus didn t seem to be leaving. All results were normal except for ALT (33) and AST (44). We had another blood test last week and the liver # s were a little higher, ALT (39) and AST (52). She is a gymnast and is just now working out at about 90% and had some pain but not a huge amount. Any comments on why the increase?
Sat, 3 Sep 2016
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Pediatrician,  's  Response
Hi I am dr Kadhir,
Ahealthcare st I want to get clarify you that we call henoch scholein purpura a kind of non infective , autoimmune small vessel vasculitis as HSP. It is definitely not a viral infection and usually don't involve the liver.
Or do you mean herpes simplex as hsp ? Which is viral infection and again it involves liver in disseminated form which is quite rare..
What ever might be, the ALT and AST mentioned is of normal range that is around 40.
Even if it is taken as rised it is not a sufficient test to comment on the liver status without bilirubin and other parameters .
AST can be increased in non hepatic causes or NASH (nonalcoholic steato hepatitis ) seen in obesity . It is highly non specific for liver.
Finally see that she has not taken any medications that would injurie the liver.
Thank you for using healthcare magic..
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What Causes Elevated ALT And AST Levels In A Child Having HSP?

Hi I am dr Kadhir, Ahealthcare st I want to get clarify you that we call henoch scholein purpura a kind of non infective , autoimmune small vessel vasculitis as HSP. It is definitely not a viral infection and usually don t involve the liver. Or do you mean herpes simplex as hsp ? Which is viral infection and again it involves liver in disseminated form which is quite rare.. What ever might be, the ALT and AST mentioned is of normal range that is around 40. Even if it is taken as rised it is not a sufficient test to comment on the liver status without bilirubin and other parameters . AST can be increased in non hepatic causes or NASH (nonalcoholic steato hepatitis ) seen in obesity . It is highly non specific for liver. Finally see that she has not taken any medications that would injurie the liver. Thank you for using healthcare magic..