Differential diagnosis of elevated liver enzymes: case reports
T Korom, I Nagy, É Csajbók, T Wittmann · Zeitschrift für Gastroenterologie · 2008 · Heft 05
Bibliografische Angaben
Zusammenfassung
Background: Many patients are referred to our hepatology unit for evaluation because of abnormal liver function tests. The first steps in the differential diagnosis are the history-taking, physical examination, routine laboratory tests and abdominal ultrasonography. Next we check the relevant virological, autoimmune and tumour markers and/or perform special radiology examinations or liver biopsy if necessary. Alkaline phosphatase (ALP) is an important enzyme that catalyses the cleavage of inorganic phosphate non-specifically from a wide variety of phosphate esters; it exhibits a high (>8) pH optimum. The serum A…