Long-standing mild hypertransaminasaemia caused by congenital disorder of glycosylation (CDG) type IIx.

Abstract:

:A 32 year-old asymptomatic male came to our attention with a 21-year history, documented elsewhere, of puzzling increases in his serum transaminase level. At first, very low serum ceruloplasmin level suggested Wilson disease. Two liver biopsies showed mild portal inflammation, steatosis and mild fibrosis. Further investigation revealed low levels of the glycoproteins AT III and clotting factor XI, leading to a diagnosis of congenital disorder of glycosylation (CDG) type II. Further studies as to the cause of this 'apparently new' CDG, are ongoing. On the basis of our data and a literature review, we suggest that subjects with asymptomatic hypertransaminasaemia be screened for CDG.

journal_name

J Inherit Metab Dis

authors

Calvo PL,Pagliardini S,Baldi M,Pucci A,Sturiale L,Garozzo D,Vinciguerra T,Barbera C,Jaeken J

doi

10.1007/s10545-008-1004-9

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

S437-40

eissn

0141-8955

issn

1573-2665

journal_volume

31 Suppl 2

pub_type

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