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Scenario 3
34 yo F has had mild ALT elevation for 12 months. H&P unrevealing.
AST 67
ALT 73
Hep B SAb: Positive
Hep B SAg: Negative
Hep B Core IgM: Negative
Fe/TIBC ratio: 55%
Ferritin 1275
What is the most appropriate next test?
A) Repeat the LFTs
B) Hep B e Ag, Hep B e Ab and HBV-DNA
C) Liver Biopsy
D) Gene testing for hemochromatosis