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Abstract Children with chronic liver disease are at risk for developing vitamin K deficiency because of inadequate dietary intake. This study was conducted on 25 infants, children and adolescents, suffering from chronic non cholestaic liver disease (15males and 10females). They age ranging from 1.5 to 16 years. All were subjected to thorough medical history taking with special emphasis on hepatic symptoms and bleeding tendency symptoms, full clinical examination, investigations for liver functions, and measurement of serum PIVKA II levels. Assessment of liver diseases severity was done and patients were categorized according to The Child-Pugh classification to Child A, B, C. Then collected data were reviewed, coded, and entered PC where statistical analysis was done using SPSS (statistical package for social science) which revealed that: PIVKA II levels were elevated in all patients with chronic non cholestatic liver disease. There was a significant positive correlation between PIVKA II and melena, ascites, lower limb edema and haematemesis. There was a significant positive correlation between PIVKA II and PT, INR. There was a significant negative correlation between PIVKA II and PLT. PIVKA II was not correlated to Child’s classification |