investigation of asymptomatic raised aminotransferase levels

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The investigation of asymptomatic raised aminotransferase levels is divided into:

  • first line
  • second line

If after first and second line investigations the cause of the elevated aminotransferases is not apparent then:

  • if the levels are more than twice normal a liver biopsy may be indicated
  • if the levels are less than twice normal then a policy of watchfull waiting may be appropriate

Reference:

  • NEJM (2000), 342 (17), 1266-1271.

Last reviewed 08/2019

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