MAJED M. ODEH, M.D.; HARRY M. BASSAN, M.D.
To the editor; The association of serum alkaline phosphatase elevation with severe extrahepatic infection is well documented. In such cases, the serum bilirubin is also moderately elevated, with a mild rise in serum alkaline phosphatase and transaminase levels, which correlates with hepatic impairment. We report a case of pleuropneumonia associated with a marked rise in serum alkaline phosphatase, with normal serum bilirubin and transaminase levels, and normal liver biopsy findings. To the best of our knowledge, a similar case has not been reported previously.
A 68-year-old woman was admitted with a 5-day history of fever, cough, left lower chest pain,
ODEH MM, BASSAN HM. Pleuropneumonia and Alkaline Phosphatase. Ann Intern Med. ;108:644. doi: 10.7326/0003-4819-108-4-644_1
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Published: Ann Intern Med. 1988;108(4):644.
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