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Chronic and acute alcohol use also can commonly cause abnormal liver blood tests. In alcoholic hepatitis, the range of liver tests can vary greatly. In chronic alcohol liver disease or alcoholic cirrhosis, slight elevation of ALT and AST may be observed, whereas in acute alcoholic hepatitis, high liver enzyme numbers are often seen.
Measurement of liver enzymes is common in primary care, and has likely increased the prevalence of asymptomatic patients with mild elevations in alanine transaminase (ALT) and aspartate transaminase (AST) levels.n a study of 256 asymptomatic Swedish patients with mildly elevated liver transaminase levels, alcohol was found to be the cause in 10 percent. 12 The most important way to make the diagnosis is through an accurate history.