I am a 42 yr old male. Have hx of mildly elevated ALT. (around 60). Last year physician ordered several test. Hep panel all negative. Liver ultrasound which showed mild case of fatty liver. I have gained some weight over the last couple of years. I am not a heavy drinker.
Just had physical recently. AST was 46. ALT 58. Normal bilirubin. Normal Alkaline Phos. Smooth muscle AB normal. However, physician ordered AMA M2 AB test. Came back positive with value of 30. I have no symptoms and otherwise healthy male. Controlled hypertension.
Do you think I have PBC? False positive? Should get liver biopsy? Monitor?
I would greatly appreciate any insight you can provide.