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Transient hyperphosphatasemia of infancy. Fifteen new cases

R Oggero1, M Mostert, M Spinello

  • 1Department of Paediatrics, Turin University Hospital, Italy.

Insights

Transient hyperphosphatasemia of infancy (THI) was observed in fifteen children. Clinical signs in these pediatric patients suggested an underlying infectious agent may cause this condition.

Area of Science:

  • Pediatric Medicine
  • Biochemistry
  • Clinical Diagnostics

Background:

  • Alkaline phosphatase (ALP) assays are routinely performed in pediatric hospital admissions.
  • Transient hyperphosphatasemia of infancy (THI) is a condition characterized by elevated ALP levels.
  • Understanding the etiology of THI is crucial for appropriate clinical management.

Observation:

  • Routine biochemical screenings identified fifteen pediatric cases of THI.
  • These children presented with clinical symptoms indicative of an infectious process.
  • The co-occurrence of THI and infection symptoms prompted further investigation.

Findings:

  • Elevated alkaline phosphatase levels were detected in fifteen infants during their initial hospitalization.
  • Clinical presentations in these infants were suggestive of an infectious etiology.
  • A potential link between infectious agents and the development of THI in infants is indicated.

Implications:

  • This study highlights a potential association between infections and THI in infants.
  • Further research is warranted to confirm the role of infectious agents in THI.
  • Identifying infectious triggers could lead to targeted treatments for THI.

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