The liver is inflamed and damaged by elevated transglutaminase, and the causes of inflammatory damage are very diverse, the most common are the following: 1, whether there is a combination of viral infections, the most common are hepatitis B virus, hepatitis C virus, hepatitis A virus, hepatitis E virus, EB virus, cytomegalovirus, etc., these viral infections can cause viral hepatitis damage. 2, whether there is a drinking factor, especially long-term drinking or short-term heavy drinking can lead to inflammation of the liver. 3, drug damage, whether there is taking some drugs that are damaging to the liver, Whether there are factors of alcohol consumption, especially long-term drinking or short-term heavy drinking, can lead to inflammation of the liver, manifested as elevated transaminases.3, drug-related damage, whether there are taking some drugs that are damaging to the liver, such as antibiotics, anti-tuberculosis drugs, anti-tumor drugs, etc.4, whether there is a combination of other organ problems, the most common are hyperthyroidism, pancreatitis, cholecystitis, etc.5, whether there is a fatty liver, moderate or Severe fatty liver can also lead to inflammation of the liver, so a detailed examination should be done to further determine the cause of the disease.