Cleve Clin J Med 1998 Mar;65(3):150-158
Evaluating asymptomatic patients with mildly elevated liver enzymes.
Younossi ZM
Department of Gastroenterology, Cleveland Clinic, USA.
Because elevated liver enzymes are found in 1% to 4% of asymptomatic persons,
extensive evaluation of all abnormal tests would expose many patients to undue
risks and medical costs. On the other hand, not evaluating minor elevations
of liver enzymes could result in missing the early diagnosis of potentially
treatable disorders. This review discusses likely causes of elevated aminotransferase,
alkaline phosphatase, and gamma-glutamyl transferase levels and provides algorithms
for evaluating abnormal liver enzyme values in apparently healthy patients in
the primary care setting.
Publication Types:
•Review
•Review, tutorial
PMID: 9540248, UI: 98201071
Table of Contents
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