4033103438

4033103438



Interpretatie levertestafwijkingen II

Etiology of Mild ALT or AST Elevations: • ASAT versus ALAT    Less Than 5 Times Norma!

• Ratio, alleen -> alcohol


bij hoger asat


Hepatic: ALT-predominant Chronić hepatitis C Chronić hepatitis B Acute viral hepatitis (A-E. EBV, CMV) Steatosis/steatohepatitis Hemochromatosis Medications/toxins Autoimmune hepatitis Alpharantitrypsin deficiency Wilson’s disease Celiac disease Hepatic: AST-predominant Alcohol-related liver injury Steatosis/steatohepatitis Cirrhosis Nonhepatic Hemolysis Myopathy Thyroid disease Strenuous exercise Macro-AST

Sr

\^ Amphia Ziekenhuis



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