PMID: 8441098Mar 1, 1993Paper

Elevated serum aminotransferase activity as an early manifestation of gluten-sensitive enteropathy

The Journal of Pediatrics
P VajroR Vecchione

Abstract

Six children in whom long-standing hypertransaminasemia of unknown cause led to an initial diagnosis of chronic or protracted cryptogenic hepatitis were found to have asymptomatic celiac disease. Administration of a gluten-free diet caused a prompt improvement of both hepatic and intestinal biochemical/histologic abnormalities. Hepatic damage may be another "atypical" form of celiac disease in children.

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