%0 Journal Article
%T Benign transient hyperphosphatasemia in the pediatric population: a single center cohort study.
%A Buyukyilmaz G
%A Koca SB
%A Turhan B
%A Adiguzel KT
%A Goren R
%A Uzdogan A
%A Aksu AU
%A Boyraz M
%J J Pediatr Endocrinol Metab
%V 37
%N 7
%D 2024 Jul 26
%M 38800840
%F 1.52
%R 10.1515/jpem-2024-0123
%X <B>OBJECTIVE: </B>Alkaline phosphatase (ALP) can be increased in a benign condition known as benign-transient hyperphosphatasemia (BTH). We aimed to evaluate the demographic, and clinical characteristics of infants and children with BTH.<BR><B>METHODS: </B>In our retrospective study, infants and children diagnosed with BTH between September 2019 and September 2023 were included.<BR><B>RESULTS: </B>Of 249 children with elevated ALP levels, 95 (38.1 %) had BTH. The mean age at diagnosis of children with BTH was 2.4 ± 1.3 years (min 0.6 - max 6.2 years). ALP mean value was 2,587 ± 1252 U/L (min 972 - max 5757 U/L). ALP value was an average 7.4 ± 3.6 times higher than the corresponding upper limit of normal. The second measurement was made after an average of 13.2 ± 6 days, and a statistically significant difference was detected compared to the first value, with a decrease of 61 ± 23 % in the ALP value (p<0.001). ALP value returned to normal in an average of 44 ± 29.2 days. Elevated ALP was detected during infection in 49 (51.6 %) children. When the sample was divided into those under 2 years of age and aged 2 and over, no statistical difference was observed in ALP levels in the time it took for ALP levels to return to the normal range (p=0.480).<BR><B>CONCLUSIONS: </B>BTH should be kept in mind if high serum ALP is detected in children without clinical or laboratory suspicion of bone or liver disease. In the follow up detecting a significant decrease trend compared to the first value may be guiding for BTH.