Need for serological tests to exclude celiac disease when TSH and CK values non-indicative. - GreenMedInfo Summary
[Efficient diagnostics for elevated transaminases].
MMW Fortschr Med. 2007 Jul 19 ;149(29-30):44-8; quiz 49. PMID: 17703692
Arztehaus Harlaching, Isenschmidstr. 19, D-81545 München. [email protected]
The diagnosis of the cause of elevated transaminases is carried out stepwise. First, a medical history is taken and a physical examination and sonography of the abdomen are performed. The second step includes laboratory tests for chronic hepatitis B and C, hereditary haemochromatosis, Wilson's disease, autoimmune hepatitis and alpha-1-antitrypsin deficiency. The third step comprises the identification of possible extrahepatic causes. Serological tests to exclude celiac disease should be first carried out when TSH and CK values do not yield an indicative finding.