Last reviewed dd mmm yyyy. Last edited dd mmm yyyy
The elevation of alkaline phosphatase levels in an asymptomatic individual should be confirmed by anlysis of a repeat blood sample.
Chronic elevation of alkaline phosphatase levels in an otherwise well individual may be:
Sometimes it is useful to look at the relationship of ALP to bilirubin and lactate dehydrogenase (LD) levels (1)
Pathology | Alkaline Phosphatase | Bilirubin | LD |
Intra or extrahepatic cholestasis | Increased | Increased | Normal |
Focal benign cholestasis | Increased | Normal | Normal |
Focal malignant cholestasis | Increased | Normal | Increased |
Notes:
Reference:
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