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Patterns of abnormal LFTs and their differential diagnosis

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Caveats<br />

• Can have liver disease despite normal <strong>LFTs</strong><br />

• HCV – 1:6 with persistently normal ALT<br />

will have significant pathology on liver bx<br />

Am J Gastro 2003;98:1588<br />

• Clear link between ALT level <strong>and</strong> liver<br />

mortality, even for values within the normal<br />

range<br />

Gastro 2009;136:477

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