Abstract
The natural history of some recently described rare paediatric diseases is still unknown, as in the case of four children with a novel glycosylation (CDG) congenital disorder and a predominant liver disease, reported by Mandato et al. (Pediatr Res 2006;59(2):293–8). They described children presenting with hypertransaminasemia, hypercholesterolaemia, CPK alteration, a low ceruloplasmine value and a high liver copper content. Herein a case report of a 32-year-old asymptomatic young man, investigated for a 21-year history of an unexplained increase in serum transaminases is reported.
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