Alkaline Phosphatase Normal Range and Clinical Significance
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Questions and Answers

What is the normal range of alkaline phosphatase (ALP) for a 10-year-old?

  • 95-200 IU/L
  • 32-92 IU/L
  • 107-213 IU/L (correct)
  • 71-142 IU/L
  • Which condition is associated with more than a threefold increase in serum alkaline phosphatase?

  • Cirrhosis
  • Hepatitis
  • Extrahepatic obstruction (correct)
  • Fatty liver
  • Which liver condition typically shows only slight increases in serum alkaline phosphatase?

  • Hepatitis (correct)
  • Pregnancy-related conditions
  • Bone diseases
  • Extrahepatic obstruction
  • Why do children and adolescents have higher total alkaline phosphatase activity than adults?

    <p>Higher production of the bone isoform during growth</p> Signup and view all the answers

    What situation in adults is associated with a higher total level of alkaline phosphatase?

    <p>Pregnancy</p> Signup and view all the answers

    Which of the following conditions principally affects parenchymal cells and leads to moderately elevated serum alkaline phosphatase activity?

    <p>Hepatitis</p> Signup and view all the answers

    Study Notes

    Normal Range of Alkaline Phosphatase (ALP)

    • 3 years: 71-142 IU/L
    • 10 years: 107-213 IU/L
    • Adult: 32-92 IU/L

    Clinical Significance of ALP

    • Higher ALP levels in children and adolescents due to increased bone isoform production during growth
    • Higher ALP levels in pregnant women due to increased placental isoform production

    Liver Diseases

    Extrahepatic Obstruction

    • ALP elevation is more marked (more than threefold) in cases such as stone or cancer of the head of pancreas

    Hepatocellular Disorders

    • Slight increases in ALP levels, usually less than three times upper limit of normal (ULN) in cases such as hepatitis and cirrhosis
    • Liver diseases affecting parenchymal cells, such as hepatitis, typically have moderately elevated serum ALP activity

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    Description

    Learn about the normal range of alkaline phosphatase (ALP) in different age groups and its clinical significance in investigating hepatobiliary and bone diseases. Understand how ALP levels vary with age.

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