Table 1.
Evaluation of an adolescent with elevated liver enzymes
| Disease | Testing |
|---|---|
| Hepatitis A | Hepatitis A antibody |
| Hepatitis B | Hepatitis B surface antibody |
| Hepatitis B surface antigen | |
| Hepatitis B core antibody | |
| Hepatitis C | Hepatitis C antibody |
| Hepatitis E | Hepatitis BE antibody |
| Hepatitis BE surface antigen | |
| EBV | EBV IgM antibody |
| EBV polymerase chain reaction | |
| CMV | CMV IgM antibody |
| CMV polymerase chain reaction | |
| Autoimmune hepatitis | Autoantibodies to nuclei |
| Smooth muscle antibody | |
| Liver/kidney microsome antibody | |
| Total IgG | |
| α1-Antitrypsin deficiency | α1-Antitrypsin phenotype |
| Wilson disease | Ceruloplasmin serum |
| 24-h urinary copper | |
| Hemochromatosis | Complete blood count Total iron Total iron-binding capacity Transferrin saturation Ferritin |