Evaluation of Children who have mildly or moderately elevated liver transaminase levels

Yıl 2012, Cilt: 2 Sayı: 1, 44 - 49, 01.03.2012

Resul Yılmaz

Öz

There are number of pitfalls in the interpretion of elevated liver transaminase levels, that can challenge experienced clinicains. Mild or moderate elevation of liver transaminase levels can reveal transient and benign etiologies or serious conditions. Viral hepatitis, medications, herbal products or steatosis are potential causes of elevated transaminase levels. Detailed histroy and family history are essential. If elevations persist after four to six months of observaton n asymptomatic patient, further augmented tests and referral to a specialist are needed.

Anahtar Kelimeler

Children, Liver, Transaminase elevation, liver enzymes

HAFİF VE ORTA DERECEDE YÜKSEK KARACİĞER TRANSAMİNAZI SAPTANMIŞ PEDİATRİK HASTAYA YAKLAŞIM

Öz

Yüksek karaciğer transaminaz sevyelerini değerlendirmede birçok zorlu tuzak deneyimli klinisyenlere meydan okumaktadır. Hafif ve orta derecede karaciğer transaminaz değerleri geçici ve iyi huylu etiyolojilerde ortaya çıktığı gibi, ciddi durumları da bildirir. Viral hepatitler, ilaçlar, bitkisel ürünler veya steatoz potansiyel nedenlerdir. Ayrıntılı anamnez ve aile öyküsü esansiyeldir. Asemptomatik hastada 6 aylık takipte ısrar eden yükseklik durumunda ileri testler ve bir uzmana danışma gerekli olur.

Anahtar Kelimeler

Çocuk, Karaciğer, Transaminaz yüksekliği, karaciğer enzimleri

Kaynakça

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