I'm already at an impasse. I have a case: 9 years ago I was infected with hepatitis B. He was treated 6 months later, tests showed that the virus still exists. After not tested. 2 years ago made a biochemical analysis: AST and ALT were high - somewhere 150 - 200, just, unfortunately, I do not remember, anti HCV and HBsAg positive. Made PCR B and C: were negative. Decided that the high rates of transaminase against opiates that are taken, and calmed down. Now, a month ago, did an analysis, was the following picture: Bil. T - 18, Bil. Dir - 3,9, ALT - 234, AST - 259, GGT - 50. HBsAg +, anti - HBclgM -, anti - HBs <25, anti - HBc (tot) +, anti - HCV +, anti - delta -, B - Virus - DNA (PCR) negativ, C - Virus - RNA negativ, They appointed treatment: 10 with transfusions riboksin, Duphalac, SAMe, 2 times a day diet. A month passed, repeated biochemical analysis: Bil.T 17,7, Bil.Dir 5,0, ALT - 245, AST - 112, GGT - 67. Now I do not know what to do, how do you think is the reason for the high ALT? Were told that we must verify D Virus - RNA. But I have the same anti - Delta negativ. Does it make sense? Or think of an autoimmune disease?

Respond Tatyana Stepanova, a gastroenterologist, hepatologist autoimmune disease must be ruled out as cause of increase of ALT and AST is not known. Similar question: ... obnaruzhen.genotip HCV-PHK-3a.biohimichesky analysis of ALT and AST-56 the rest is all ...