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This is a Liver Function Test (LFT) report for an 8-year-old male patient named Khalid, from a Cancer Detection & Microbiology Centre in Begusarai, Bihar. Here is a full breakdown:
Patient Details
- Name: Khalid
- Age: 8 Years | Gender: Male
- Referred by: Dr. Abhay Kumar (MBBS, MD)
LFT Results Explained
| Test | Patient's Result | Normal Range | Status |
|---|---|---|---|
| SGPT (ALT) | 26.0 u/L | 20-40 u/L | ✅ Normal |
| SGOT (AST) | 28.0 u/L | 10-40 u/L | ✅ Normal |
| Alkaline Phosphatase (ALP) | 270.0 IU/L | 42-160 IU/L | ⚠️ HIGH |
| Total Bilirubin | 0.38 mg/dl | 0.1-1.2 mg/dl | ✅ Normal |
| Direct Bilirubin | 0.10 mg/dl | 0.1-0.4 mg/dl | ✅ Normal |
| Indirect Bilirubin | 0.28 mg/dl | 0.2-0.7 mg/dl | ✅ Normal |
| Total Protein | 6.10 g/dl | 6.0-8.3 g/dl | ✅ Normal |
| Albumin | 3.60 g/dl | 3.2-5.0 g/dl | ✅ Normal |
| Globulin | 2.50 g/dl | (calculated) | ✅ Normal |
| A/G Ratio | 1.44 : 1 | ~1.0-2.0 | ✅ Normal |
Key Finding: Elevated Alkaline Phosphatase (ALP)
The ALP is 270 IU/L, which is significantly above the lab's stated upper limit of 160 IU/L - approximately 1.7x the upper limit of normal.
Important note for interpretation: In children, ALP is naturally higher than in adults because it is also produced by growing bones (not just the liver). Even so, 270 IU/L is notably elevated for an 8-year-old.
Possible causes of high ALP in a child:
- Physiological (bone growth) - ALP rises during growth spurts; some labs use pediatric-specific ranges which may go up to 300-400 IU/L
- Liver disease - cholestasis, hepatitis, or biliary obstruction
- Bone disorders - rickets, bone fractures, bone tumors
- Hyperparathyroidism
- Inflammatory bowel disease
Overall Assessment
- Liver function is largely normal - SGOT, SGPT, bilirubin, total protein, and albumin are all within range. This means there is no active liver cell damage or jaundice.
- The only abnormal value is ALP, which may or may not be significant in a growing child without symptoms.
- The report was done at a Cancer Detection Centre, which may suggest this test was ordered as part of a broader workup.
Recommendation: A doctor should correlate this with the child's clinical symptoms, growth status, and possibly order a GGT (Gamma-GT) test - if GGT is normal alongside high ALP, it strongly suggests the elevation is bone-derived (growth-related) rather than liver-related. Always consult the treating physician for a full interpretation.
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