Jun 30, 2010
I have been diagnosted with a fathy liver 3 years ago. I had a hep B vaccine 2 years ago. However, My physcian ordered a lab test for me. The results were as below: ANA screen = o.48 < 1.0 units HBSAB = Positive Hepatitis A AB = Positive Hepatitis A IGM = Negative The liver function tests were normal except for AST(SGOT) =74>59 IU/L and ALT(SGPT) = 147>72 IU/L,
Please advise what do positive results mean??
Response from Dr. McGovern
You had past hepatitis A infection but HAV does not cause chronic liver disease. You have evidence of either past hepatitis B or past immunization against HBV. This means you are protected from infection.
The liver tests need further follow-up. They are probably abnormal from your fatty liver, which can lead to scarring. You will need to discuss with your doctor what your risk factors for fatty liver are (eg diabetes, overweight, or high cholesterol/triglycerides) and address those problems.
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