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Alaine Aminotransferase (ALT)

Its’ Uses:

ALT is used to identify hepatocellular diseases of teh liver. It is also an acurate monitor of improvement or worsening of these diseases.

Interfering factors:

Drugs that may increase ALT levels include:  acetaminophen, allopurinol, aminosalic acid, ampicillin, azathioprine, carbamazepine, cephalosporins, chorliazepoxide, isoniazid, methotrexate, methyldopa, nafcillin, nalidix acid, nitrofurantoin, oral contraceptives, oxacillin, phenothiazines, phenylbutazone, phenytoin, procainamide, propoxyphene, propranol, quinidine, salicylates.

Diagnostic Significance:

Significantly increased levels:

  • •    Hepatitis
  • •    Hepatic necrosis
  • •    Hepatic ischemia

Moderatly increased levels:

  • •    Cirrhosis
  • •    Cholestasis
  • •    Hepatic tumor
  • •    Hepatotoxic drugs
  • •    Obstructive jaundice
  • •    Severe burns
  • •    Trauma to striated muscle

Mildly increased levels:

  • •    Myositis
  • •    Pancreatitis
  • •    Myocardial infarction
  • •    Infectious mononucleosis
  • •    Shock

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