Liver function test results

Have a concern about a recent liver function test. My labs are as follws:
ALK PHOS   67  ( 38-126) U/L
AST   36        (15-49)  U/L
ALT   77        (11-66)  U/L

All STD tests to include Hep B, C tests are negative. I am an ex-drinker and smoke a pack a day cigarete smoker. My concern is this, I have a terrible itchy skin problem. Feels like the skin is being attacked by fire ants, worse at night. Doc has me taking Neurontin, not much help. If EBV virus is invovled would the elevated ALT be the primary indicator? What about HIV? I have been tested for HIV 1, neg, but that was years ago. What would the labs be if HIV was +? Had an acute case of Diarreha over the holidays, weight loss, blurring eye sight, insomnia( cause of the itching.) Any help you would be great.

[Kevin Pho, MD]

There are many things that can elevated ALT.  If EBV virus is a concern, you can have blood tests done to evaluate for EBV specifically.  HIV is also possible, and can be ruled out with appropriate HIV testing.

One consideration would be primary biliary cirrhosis or primary sclerosing cholangitis - which can have itchiness associated with elevated liver function tests.  This can be tested for using anti-mitochondrial antibodies or an ERCP respectively.  

You can discuss these options with your personal physician or in conjunction with a gastroenterology referral.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
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