Isoenzyme characterization in isolated elevation of alkaline phosphatase after liver transplantation in children.

Abstract:

BACKGROUND:Isolated transient elevation of alkaline phosphatase (ALP) in the absence of bone or liver disease has been reported in children including liver transplant patients. Specific isoenzyme patterns have been associated with this phenomenon in healthy children but have not been reported after liver transplantation. The discovery of the isoenzyme pattern associated with benign transient hyperphosphatasemia in one child prompted a study of all our posttransplant patients. METHODS:Retrospective analysis of ALP isoenzymes by polyacrylamide gel electrophoresis on banked serum samples. RESULTS:The incidence of isolated transient hyperphosphatasemia was 4.3%. All 11 children demonstrated the isoenzyme pattern associated with benign transient hyperphosphatasemia. In one child, the hyperphosphatasemia occurred on a background of chronic cholangiopathy and in a second, shortly after an episode of probable cytomegalovirus hepatitis. CONCLUSIONS:Isolated elevation of serum ALP after liver transplantation in children is common. Analysis of ALP isoenzymes, looking for the pattern of benign transient hyperphosphatasemia, can assist in the management of these children.

journal_name

Transplantation

journal_title

Transplantation

authors

O'Riordan S,Baker AJ,Sherwood RA

doi

10.1097/00007890-200210150-00023

subject

Has Abstract

pub_date

2002-10-15 00:00:00

pages

1030-4

issue

7

eissn

0041-1337

issn

1534-6080

journal_volume

74

pub_type

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