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Home Criteria Gastroenterology Typical Laboratory Abnormalities in Alcoholic Liver Disease (ALD)


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Typical Laboratory Abnormalities in Alcoholic Liver Disease (ALD) Print E-mail
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Written by G. Firman MD   
Tuesday, 10 September 2013 06:52

 

Alcoholic liver disease (ALD) encompasses a spectrum of injury, ranging from simple steatosis to frank cirrhosis.

 

Typical Laboratory Abnormalities in ALD

Serum enzymes

  • AST >>> ALT: Both usually <300 IU/L
  • Alkaline phosphatase (ALP) and g-glutamyl transpeptidase (GGT): Both usually elevated to a variable degree

Metabolic alterations

  • Hyperglycemia
  • Hypertrygleridemia
  • Hyperuricemia
  • Electrolyte abnormalities: low potassium, magnesium and phosphorus

Tests of liver function

  • Serum albumin, prothrombin time, and serum bilirubin usually normal until significant liver injury present

Hematological abnormalities

  • Mild anemia common (usually macrocytic)
  • Platelets (normal to markedly decreased)
  • Elevated white blood cell count: Leukemoid reactions associated with alcoholic hepatitis

 

Abbreviations: AST, aspartate aminotransferase;  ALT, alanine aminotransferase

 

References:

  1. O'Shea RS, Dasarathy S, McCullough AJ. Alcoholic liver disease. Am J Gastroenterol. 2010 Jan;105(1):14-32. [Medline]
  2. McCullough AJ, O'Connor JF. Alcoholic liver disease: proposed recommendations for the American College of Gastroenterology. Am J Gastroenterol. 1998 Nov;93(11):2022-36. [Medline]

 

Created Sep 10, 2013.

 


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