Elevated liver enzymes also happen with EpsteinBarr virus infection. (mononucleosis). This is very common in teens and young adults. Some other viruses may also increase liver enzymes, but that passes in 3 to 6 months. Usually all of them will elevate in a group, and not just one of them, if the trigger is viral. The monospot blood test will reveal if he has been infected. The antibodies usually last for life with this virus. Lowered WBC with the liver findings may suggest another virus culprit.
If only alkaline phosphatase is elevated, this can indicate a bone issue (trauma) or excessive sports or physical activity.
High bone turnover will elevate this but usually it is not a high value, but just a bit out of the range. Some rare genetic bone diseases will show up with elevations of just this one enzyme.
Paget's disease is one example.
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Weezie looking at petunias 8.25.2017
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