Lupus patients with elevated liver enzymes should keep in close touch with their doctors and continue to follow up with recommended lab work. My doctor monitored my liver enzymes closely for over a year, since alternately they would appear normal, but elevated the next time. When levels stopped returning to normal, my doctor thought it wasn’t just normal lupus activity.
Two rituxan infusions put me into a near 5-year remission, stopped the lupus attack on my liver, and controlled many of my most severe lupus problems. My ALTs and ASTs have been normal ever since, and I was able to cut my lupus medications back to just the basics – plaquenil, low dose maintenance steroids and folic acid.
Although now the long-lasting near remission is ending, some new rituxan infusions may be in the works. However, liver enzymes have still been behaving nicely so far.