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Persistent alanine aminotransferase elevations in children with parenteral nutrition-associated liver disease
Journal of Pediatric Surgery, 06/17/09

Jeffrey Yang CF et al. - Children with PNALD who have achieved PN independence have persistent ALT elevation despite normal direct bilirubin levels. This implies that hepatic injury may be ongoing beyond the time of bilirubin normalization in this cohort of patients.

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