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Christine,
My husband also had elevated alt/ast levels post transplant. His doctors ordered a liver biopsy which showed high iron levels in his liver. This was causing the raised liver counts. Prior to transplant he had had several PRBC TXs and went into transplant with a high ferritin level. Once his CBC's were in the normal range, they began phlebotomy and his ferritin and liver counts have come down. That was the only treatment they did for it. He never took steroids. He never experienced skin problems, however, he had extremely dry eyes and mouth. They cauterized his tear ducts and this helped considerably. The dry mouth and taste changes has slowly come around.
If you have anymore questions, I would be glad to offer our experience.
Mary
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Mary, wife of Mike age 70; diagnosed MDS RARS 1999. Tried Vidaza, Revlimid, and Dacogen. SCT 10/1/09 at U of MI; induction FluBu2; sister perfect match donor. 5 years out, little to no GVHD. Off all meds. God is good 
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