<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>Journal of Pediatric Perspectives</title>
			<title_fa></title_fa>
			<short_title>JPP; J Ped Perspect</short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://jpp.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn></journal_id_issn>
			<journal_id_issn_online>3060-7205</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year>0</year>
				<month>0</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2017</year>
				<month>10</month>
				<day>1</day>
			</pubdate>
			<volume>5</volume>
			<number>10</number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Unexplained High Activity of Aspartate Aminotransferase in an Asymptomatic Pediatric Patient</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type></content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Elevated enzyme activities in plasma may at times be attributed to the presence of macro-enzymes. The macro-enzymes are often serum enzymes in complex with immunoglobulins, resulting in a greater molecular mass that cannot be filtered by renal glomeruli and are, hence, retained in the plasma. The aspartate aminotransferase (AST) can exist as a macro-enzyme, although it has been rarely reported.  We describe a pediatric patient with persistently elevated serum AST activity, due to macro-enzyme formation between AST and an immunoglobulin. This is to highlight the importance of early diagnosis of macro-AST in an otherwise asymptomatic pediatric patient with isolated AST-elevation and to avoid unnecessary costly testing.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Alanine, Alkaline phosphatase, Aspartate Aminotransferase, Child, macro-enzymes</keyword>
				<start_page>5805</start_page>
				<end_page>5808</end_page>
				<web_url>https://jpp.mums.ac.ir/article_9103.html</web_url>
			<author_list><author>
				<first_name>Wajiha</first_name>
				<middle_name></middle_name>
				<last_name>Maan</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>wajiha.maan@gmail.com</email>
				<code>37438</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatrics, Golisano Children&amp;#039;s Hospital, Upstate Medical University, Syracuse, NY, USA.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Qurratul Ann</first_name>
				<middle_name></middle_name>
				<last_name>Warsi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>qurratulann.warsi@ucsf.edu</email>
				<code>37439</code>
				<coreauthor>No</coreauthor>
				<affiliation>University of California and San Francisco, Department of Epidemiology and Biostatistics, San Francisco, CA, USA.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Avideh</first_name>
				<middle_name></middle_name>
				<last_name>Rashed</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>rasheda@upstate.edu</email>
				<code>37440</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatrics, Golisano Children&amp;#039;s Hospital, Upstate Medical University, Syracuse, NY, USA.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Manoochehr</first_name>
				<middle_name></middle_name>
				<last_name>Karjoo</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>karjoom@upstate.edu</email>
				<code>37441</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Pediatric Gastroenterology, Hepatology and Nutrition, Golisano Children&amp;#039;s Hospital, Upstate Medical University, Syracuse, NY, USA.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>