Some causes of low AST: Uremia, vitamin B6
deficiency , metronidazole
Some causes of a high AST: Viral hepatitis, cytomegalovirus,
Epstein-Barr ,
cholecystitis, acute fatty liver of pregnancy (AFLP), preeclampsia, HELLP syndrome
, hyperemesis
gravidarum, intrahepatic cholestasis, acute pyelonephritis, many drugs
(including heparin, isoniazid, acetaminophen, methyldopa) , myocardial
infarction , pulmonary emboli, metastasis, Reye's syndrome, alcoholic
hepatitis, hypothyroidism, muscular dystophy, polymyositis,
dermatomyositis, trauma, surgery, malignant hyperthermia, trichinosis,
hemochromatosis, autoimmune hepatitis, Wilson's disease, or
alpha1-antitrypsin deficiency , mushroom poisoning, hemolytic anemia, and heat stroke.
References:
1. Abbassi-Ghanavati M, Greer LG, Cunningham FG. Pregnancy and laboratory
studies: a reference table for clinicians. Obstet Gynecol. 2009
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2.
Wallach, J. Interpretation of Diagnostic Tests, Eighth ed. Lippincott Williams & Wilkins, 2007
3. Fischbach FT, Dunning MB III, eds.
A Manual of Laboratory and Diagnostic Tests, 7th ed. Philadelphia, Lippincott Williams and Wilkins,2004
4. Wright JD and Sadovsky, Y. Liver Diseases. In: Gronowski AM ed. Handbook
of Clinical Laboratory Testing During Pregnancy Totowa , NJ: Humana Press , 2004: 402-403
5. Campos J, et. al. Abnormalities in aminotransferase levels during acute pyelonephritis. Eur J Intern Med. 2009 May;20(3):e53-6.PMID:
19393479
6. Horwitz CA, et al. Hepatic function in mononucleosis induced by
Epstein-Barr virus and cytomegalovirus. Clin Chem. 1980
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7. Lin E, Adams PC.Biochemical liver profile in hemochromatosis. A survey of
100 patients.J Clin Gastroenterol. 1991 Jun;13(3):316-20.
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