Aminotransferases and muscular diseases: A disregarded lesson. Case reports and review of the literature

Claudio Veropalumbo, Ennio Del Giudice, Gabriella Esposito, Sergio Maddaluno, Lucia Ruggiero, Pietro Vajro

Research output: Contribution to journalArticle

Abstract

The aim of this study was to call the attention to the often disregarded message that hypertransaminasemia may be a marker of both liver and muscle diseases by presenting personal case reports and a systematic literature review. Three male children (mean age 5.7 years) were inappropriately addressed, during the last 12 months, to our paediatric liver unit for diagnostic work-up of a chronic hypertransaminasemia of unknown origin. In one of them, a liver biopsy had already been performed. On admission, physical examination, evaluation of serum levels of creatine kinase, and dystrophin genetic testing finally led to a diagnosis of muscular dystrophy. One hundred fourteen similar cases, 21 with unnecessary liver biopsy, were found by Medline search. Expensive and invasive tests planned to investigate liver diseases should be postponed until alternative sources of increased serum aminotransferases, primarily myopathic injury, have been excluded.

Original languageEnglish
Pages (from-to)886-890
Number of pages5
JournalJournal of Paediatrics and Child Health
Volume48
Issue number10
DOIs
Publication statusPublished - Oct 2012

Keywords

  • children
  • creatine kinase
  • hypertransaminasemia
  • muscular dystrophy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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