Many thigs can: Infections like prenatal viruses; e.g. Cytomegalovirus, rubella, hepatitis, etc.; inflammation or swelling of the liver, certain genetic and/or metabolic diseases , sometimes heart failure or prolonged jaundice, etc. It is important to see a liver specialist if your child has elevated liver enzymes and/or an enlarged liver (hepatomegaly).
Answered 5/3/2017
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