It is not unusual to encounter abnormal liver enzyme levels on routine blood tests. When the abnormal elevation in aminotransferases persist, they require prompt and appropriate investigations as liver diseases in children are often insidious in onset and clinically silent. This article aims to provide (1) an explanation to the aetiologies of elevated aminotransferases; (2) an investigational approach to these children and (3) an insight into further investigations performed at a liver centre.
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Contributors RH came up with the idea and drafted the manuscript. AD reviewed and edited the manuscript.
Funding None declared.
Competing interests None declared.
Provenance and peer review Commissioned; externally peer reviewed.