Clinical Chemistry
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Clinical Chemistry 35: 1427-1430, 1989;
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Clinical Chemistry, Vol 35, 1427-1430, Copyright © 1989 by American Association for Clinical Chemistry

Alkaline phosphatase isoenzymes in plasma in hyperthyroidism

L Tibi, AW Patrick, P Leslie, AD Toft and AF Smith
University Department of Clinical Chemistry, Royal Infirmary, Edinburgh, Scotland, U.K.

Alkaline phosphatase (ALP; EC 3.1.3.1) isoenzymes were measured in the plasma of 63 untreated hyperthyroid patients (the hyperthyroid group), 58 treated hyperthyroid patients, and 100 blood donors. Total, liver, and bone ALP activities were significantly higher in the hyperthyroid group than in the treated hyperthyroid group or the blood donors. Bone ALP was more frequently and more markedly abnormal than liver ALP. Intestinal ALP did not differ significantly between the groups. The hyperthyroid patient group had significantly higher plasma calcium concentrations and lower serum parathyrin concentrations than those of the treated hyperthyroid group.


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A. Siddiqi, J. M. Burrin, K. Noonan, I. James, D. F. Wood, C. P. Price, and J. P. Monson
A Longitudinal Study of Markers of Bone Turnover in Graves' Disease and Their Value in Predicting Bone Mineral Density
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