title: [Children can present with liver disease without elevation of liver-specific enzymes].
abstract: In children, liver diseases are rarely suspected without elevated levels of liver transaminases. We describe two cases of portal hypertension of children who presented with gastrointestinal bleeding, splenomegaly and cytopenia. Both cases had normal levels of liver transaminases; thus haematological conditions initially were suspected. An elevated alanine aminotransferase level should always lead to further examination to detect liver diseases in early stages, in order to limit development of cirrhosis.
authors.affiliation: ulrika.caverius@gmail.com.
authors.forename: Anna Ulrika
authors.initials: AU
authors.lastname: Caverius
authors.forename: Marianne Hørby
authors.initials: MH
authors.lastname: Jørgensen
authors.forename: Birgitte
authors.initials: B
authors.lastname: Lausen
authors.forename: Marianne
authors.initials: M
authors.lastname: Olsen
mesh_terms: D000410:Alanine Transaminase / Q000097:blood; D002648:Child; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis*; D008099:Liver / Q000201:enzymology; D008297:Male
chemical_list: D000410:Alanine Transaminase