My 9 yr old daughter had HSP back in April and in May had blood tests since the virus didn t seem to be leaving. All results were normal except for ALT (33) and AST (44). We had another blood test last week and the liver # s were a little higher, ALT (39) and AST (52). She is a gymnast and is just now working out at about 90% and had some pain but not a huge amount. Any comments on why the increase?
Hi I am Chat Doctor.  It is definitely not a viral infection and usually don't involve the liver. Or do you mean herpes simplex as HSP ? Which is viral infection, and again it involves liver in disseminated form which is quite rare. What ever might be, the ALT and AST mentioned is of normal range that is around 40. Even if it is taken as rose it is not a sufficient test to comment on the liver status without bilirubin and other parameters .AST can be increased in non-hepatic causes or NASH (nonalcoholic SEATO hepatitis) seen in obesity. It is highly non-specific for liver.Finally, see that she has not taken any medications that would injuries the liver. Thank you for using Chat Doctor .