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The immune system developed to tell our own, normal cells (self) from foreign and abnormal cells (non-self). This lets the immune system eliminate viruses, bacteria, fungi and cancer cells from our body without harming normal cells. Sometimes the immune system fails to tell self from non-self and it attacks normal cells, for example in ...Read more
Bili ALT AST have been elevated on off for a yr confirmed mild diffuse fatty infiltration. hep viruses and autoimmune disease ruled out. Cirrhosis?
Possible: Cirrhosis is advanced liver disease and can be the eventual outcome of long-standing liver inflammation. The only way to detect early signs of cirrhosis would be liver biopsy. Imaging studies and endoscopy only find advanced disease. You should be seeing a specialist who can advise you on cause, risks and treatments. ...Read moreSee 1 more doctor answer
Liver diagnosis 60 f -ast302/alt438 ANA pos. Us neg liver biopsy 1st dr diagnosis pri biliary cirrhosis. 2nd dr autoimmune hep. diangosis ursodiol 5wk retest. Do you agree?
Yes, need follow up: You have a combination of primary biliary cirrhosis (pbc) and autoimmune hepatitis (aih). The treatments are different, ursodeoxycholic acid is used to treat pbc, but may not bring down the ast/alt elevation associated with aih. If the urso does not bring down the ast/alt, you may need additional medications, such as steroids or azathioprine, to control the aih. ...Read moreSee 2 more doctor answers
Bili ALT AST elevated on off for a yr.other labs normal high rdw. Hep viruses autoimmune disease neg . Ct fatty liver US 6 mth later nothin cirrhosis?
Depends on biopsy: Cirrhosis can only be truly proven by a liver biopsy. Certain lab tests, such as bilirubin, INR, albumin, and platelets are often used as surrogate markers of liver function, and are an indirect estimator/predictor of cirrhosis. Additionally, imaging such as ultrasound or CT can suggest cirrhosis. But again, a biopsy is technically needed to prove the diagnosis of cirrhosis. ...Read more