ALK. PHOS. 35 - 110 HIGH DIFFERENTIAL DIAGNOSIS

DIFFERENTIAL DIAGNOSIS FOR AN ELEVATED ALKALINE PHOSPHATASE

HEPATIC SOURCES

     Cholelithiasis

     Choledocholithiasis

     Primary Biliary Cirrhosis

     Primary Sclerosing Cholangitis

     Sarcoidosis

     Amyloidosis

     Infections

          Tuberculosis

          Mycobacterium avium-intracellulare

     Malignancy

          Hepatocellular Carcinoma

          Hepatic Metastasis

          Cholangiocarcinoma 

          Pancreatic Head Cancers

          Ampullary Cancers

     Autoimmune Pancreatitis 

     Fatty Liver

     Medications

     Hepatic Abscess

          Pyogenic

          Ameobic

BONY SOURCES

     Malignancy

          Osteogenic Sarcoma

          Metastatic

     Pagets Disease

     Secondary Hyperparathyroidism

     Oncogenic Osteomalacia

     Vitamin D Deficiency 

     Rickets

     Primary Hyperparathyroidism

     Hyperthyroidism

     Healing Fractures

OTHER CAUSES

Placenta

Intestinal

Reagan Isoenzyme (ectopic production)