Vol. 13 - Num. 49
Clinical Reviews
María del Rosario García Luzardoa, N Rodríguez Calcinesa, E Colino Gilb
aServicio de Urgencias Pediátricas. Hospital Universitario Materno-Infantil de Canarias. Las Palmas de Gran Canarias. España.
bHospital Universitario Materno-Infantil de Canarias. Las Palmas de Gran Canarias. Gran Canarias. España.
Correspondence: MR García. E-mail: saragarlu@telefonica.net
Reference of this article: García Luzardo MR, Rodríguez Calcines N, Colino Gil E. Benign transient hyperphosphatasemia of infancy: a condition to be considered. Rev Pediatr Aten Primaria. 2011;13:107-11.
Published in Internet: 06-04-2011 - Visits: 35596
Abstract
Benign transient hyperphosphatasemia of infancy (BTHI) is a condition where disproportionately high levels of serum alkaline phosphatase are observed, without clinical or biochemical evidence of bone, liver, renal or metabolic disease.
We report a case of an eight months old patient presenting with fever and important increase of serum alkaline phosphatase.
The HTBI is a frequent entity to be considered in order to avoid unnecessary investigations. If a patient has high alkaline phosphatase level, with physical examination, calcium, phosphate and liver normal profile, he/her should be monitored clinically and by measuring alkaline phosphatase levels until normalization. If high level persists after 3 months, the origin of the isoenzymes and a family study should be investigated.
Keywords
● Alkaline phosphatase ● Hyperphosphatasemia
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