Hypertransaminasemia: A Diagnostic Dilemma
نویسنده
چکیده
A 4-year-old Hispanic boy was referred to our facility because of elevated levels of alanine transaminase (ALT) and aspartate transaminase (AST), which were detected during an evaluation of transient abdominal pain while the boy was in Puerto Rico. He was otherwise in perfect health; a review of systems was negative. His past medical history and birth history were noncontributory. Immunizations, including hepatitis B, were up-to-date. The family history was significant for tuberculosis and rheumatoid arthritis.
منابع مشابه
Mild Hypertransaminasemia in Primary Care
The liver enzymes, alanine transaminase (ALT) or aspartate transaminase (AST), are commonly used in clinical practice as screening as well as diagnostic tests for liver diseases. ALT is more specific for liver injury than AST and has been shown to be a good predictor of liver related and all-cause mortality. Asymptomatic mild hypertransaminasemia (i.e., less than five times normal) is a common ...
متن کاملCemento-Ossifying Fibroma A Radiographic Diagnostic Dilemma
Cemento-ossifying fibroma (COF) is a rare benign fibro-osseous tumor. The radiographic and clinical features of this lesion are unpredictable and variable. In this report, the patient was a 12-year old girl with a painless swelling which demonstrated an opaque lesion with radiolucent zone to involve left posterior portion of the mandible on panoramic radiography. The radiographic manifestati...
متن کاملNodular Cystic Basal Cell Carcinoma of the Trunk: a Diagnostic Dilemma in an Unsuspecting Youth
Basal cell carcinoma (BCC) commonly affects the elderly and is mostly confined to the head and neck region. Only 10% of all cases occur on the trunk. We presented a case of bullous lesion on the abdomen in a young male, initially diagnosed by clinicians as a vascular nevus. Histopathological examination and immunohistochemistry (IHC) revealed it to be Nodular cystic variant of BCC. This rare va...
متن کاملMyeloid Sarcoma Presenting with Lateral Cervical Mass and Eosinophilia; a Diagnostic and Therapeutic Dilemma: Case Report
Myeloid sarcoma is a rare extramedullary tumor of immature myeloid cells. It has been very rarely reported as lateral cervical mass in English literature. Myeloid sarcoma has also been reported with marked eosinophilia. Here we present a 17 year old boy with lateral cervical mass and persistent eosinophilia. The mass was isointense in MRI and homogenously enhanced after contrast injection which...
متن کاملElbow Stiffness Secondary to Elbow Joint Osteoid Osteoma, a Diagnostic Dilemma
We present a 23-year-old man with distal humerus osteoid osteoma referring to our hospital with pain and progressive stiffness. The patient has been suffering from the disease for two years without a certain diagnosis. The radiographies of elbow did not reveal the pathology but further CT scan and MRI studies demonstrated the tumor. The en block resection of the tumor resolved the pain immediat...
متن کامل