However, with the normal AST range of 8 to 39, a value of 47 might still be in the normal or certainly near-normal range, especially considering elevations of several hundred
in a number of disease states.
In essence, please do not make too much of the AST of 47. Were the AST elevation due to MD, one would also expect an elevation of creatine phosphokinase (CPK), an enzyme that is contained in skeletal and cardiac muscle.
HS is a heterogeneous group of diseases.