by Dr. Chan Lowe » Thu Nov 13, 2008 11:35 pm
Hello Black,
This is a very common issue (the part about doctors being stumped by an isolated elevated alkaline phosphatase). Without examining your child I cannot definitively say but I suspect what is going on is a condition called benign transient hyper alkaline phosphatasia, also known as benign transient hyperphosphatasemia. To translate this name, this condition is where the alkaline phosphatase level goes up into the thousands for an unknown reason but is not associated with any significant issues. It typically will come back down with time. Bone x-rays, and really all other tests, should be normal.
Before having the CT done, you may want to talk with your child's doctor about this condition. Your daughter is in the classic age range for this condition (toddlers often have it).
We often call this a "Ulysses syndrome" because upon finding the elevated alk. phos. level, the doctor sets off on a wild goose chase trying to find a reason for it but are unable to find one.
I hope this helps. Keep us updated.
Best wishes.
Advice and opinions given are based on the information provided and must not be used as an official medical recommendation. The limitations of the internet prevent an appropriate evaluation. Always consult your doctor if there is concern.
