[Asymptomatic hypertransaminasemia]

Asymptomatic hypertransaminasemia can be associated with extrahepatic diseases. Viral, bacterial, protozoan infections are the most frequent hepatic causes. Metabolic and autoimmune diseases more rarely cause hepatocitolisis without symptoms. Iatrogenic causes must be also considered in childhood. Obesity, celiac disease, irritable bowel diseases can seldom be associated with hypertransaminasemia. Diagnosis may be difficult and sometimes unsuccessful.