Which laboratory pattern is most suggestive of alcoholic hepatitis rather than simple fatty liver?

Complete absence of any transaminase elevation with normal inflammatory markers always indicates alcoholic hepatitis.

Isolated elevated pancreatic enzymes with no transaminase changes are pathognomonic for alcoholic hepatitis rather than fatty change.

Persistent severe hypoglycemia and extremely high creatinine are the sole indicators that distinguish alcoholic hepatitis from fatty change.

Moderate elevations in AST and ALT with AST often greater than ALT (AST:ALT ratio >2), elevated inflammatory markers, and possible modest bilirubin increase consistent with hepatocellular inflammation.