Only elevated hyaluronic acid in the four items of liver fibrosis may be hepatitis, cirrhosis, etc. Further examination is recommended for comprehensive judgment. 1. Hepatitis: mainly caused by viral infection or excessive alcohol intake, destroying liver cells and damaging liver function, due to the destruction of liver cells, cell membrane rupture, and the contents flow out, and elevated hyaluronic acid in the four items of liver fibrosis will appear in the examination. 2. Cirrhosis: mainly due to cholestasis, drugs or toxic substances, repeated injury to the liver, liver cell damage, resulting in hepatocyte damage, the four items of fibrosis examination, there will be hyaluronic acid continued to rise. Elevated hyaluronic acid is mainly due to liver damage, but it is not possible to directly determine the cause of liver damage, and further examination is needed to carry out treatment under the guidance of a doctor with a view to curing the disease.