Balli F, Gentilini S
Dipartimento di Scienze Ostetrico Ginecologiche Pediatriche, Università di Modena, Italia.
Pediatr Med Chir. 1996 Jul-Aug;18(4):363-4.
Asymptomatic hypertransaminasemia can be associated with extrahepatic diseases. Viral, bacterial, protozoan infections are the most frequent hepatic causes. Metabolic and autoimmune diseases more rarely cause hepatocitolisis without symptoms. Iatrogenic causes must be also considered in childhood. Obesity, celiac disease, irritable bowel diseases can seldom be associated with hypertransaminasemia. Diagnosis may be difficult and sometimes unsuccessful.
无症状性高转氨酶血症可能与肝外疾病有关。病毒、细菌、原生动物感染是最常见的肝脏病因。代谢性和自身免疫性疾病较少引起无症状性肝细胞溶解。儿童时期也必须考虑医源性病因。肥胖、乳糜泻、肠易激综合征很少与高转氨酶血症相关。诊断可能困难,有时甚至无法成功诊断。