Wednesday, October 13, 2010

(SGPT) Serum Glutamic Pyruvic Transaminase / Alkaline Aminotransferase (ALT)

1.      Alkaline Aminotransferase (ALT) Serum Glutamic Pyruvic Transaminase (SGPT)
Introduction

Normal Range
         Males
          Females
    1-3 years
   10 – 40 U/L
       9 - 25 U/L
  5 – 45 U/L

Increased in
Other causes are: obesity (not AST); Severe preeclampsia (both); Rapidly progressing acute lymphoblastic leukemia (both), levels in females approximately 75% of those in males

serum Glutamic – Oxaloacetic Transaminase [SGOT] / Aspartate Aminotransferase [AST]

1.      Aspartate Aminotransferase [AST]/ serum Glutamic – Oxaloacetic Transaminase  [SGOT]

Introduction

Aminotransferases like ALT and AST that are concentrated in liver used as indicators of hepatocellular damage. Both parallel to each other but in alcohol related disease ALT is lower than AST.

 

 Indications

Differential diagnosis of disease of hepatobiliary system and pancreas; repeat testing to establish chronicity of viral hepatitis; to check hepatotoxicity of a drug.

 

Normal levels

         Men

          Women

    0-3 years

   10 – 40 U/L

       9 - 25 U/L

  20 – 60 U/L

 

Increased in

Liver disease: Acute viral infections e.g. viral hepatitis A, B, C (value is increased up to 50 times the normal, peak levels up to 400 – 4000 U or more are reached during the icteric phase and gradually decline, during recovery phase); hepatotoxic drugs and chemicals (e.g. antifungals, narcotics and barbiturates, acetaminophen, salicylates); musculoskeletal disorders (myoglobinuria); acute myocardial infarction; acute pancreatitis; all common fevers (value raised up to 40 – 100 U) e.g. malaria, typhoid, extra pulmonary tuberculosis, dengue fever. 

Serum Globin

1.      Serum Globin

Introduction

Globulins are produced by variety of tissue including liver. Serum globulins include alpha and beta globulins as well as serum immunoglobulins.

Normal range

   Adults: 1.9 – 3.5 gm/Dl

   Fetal: 0.4 – 3.7gm/dL

 

 Indications

To evaluate chronic liver diseases and cirrhosis (increases to varying degrees).

 

Increased in

Chronic liver diseases and cirrhosis; increase may be present in non- hepatic disorders or may reflect increased stimulation of peripheral reticuloendothelial compartment due to shunting of antigens past the liver and impaired clearance by kuffer cells.