About: Transient hyperphosphatasemia in pediatric renal transplant patients - Is there a need for concern and when?     Goto   Sponge   NotDistinct   Permalink

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  • TH of infancy and early childhood is characterized by transiently increased S-ALP, predominantly its bone or liver isoforms. There are neither signs of metabolic bone disease or hepatopathy corresponding to the increased S-ALP, nor a common underlying/triggering disease. TH may also occur in children post-renal Tx, which may raise significant concerns and anxiety. We describe four patients aged 2.8-7 yr in whom the TH occurred at 11-34 (median = 28) months after Tx and lasted from 40 to 105 (median = 63) days. No obvious cause/trigger of TH could be found; the clinical status and bone turnover were not altered. In cases of TH post-Tx, we recommend the evaluation of basic biochemical indices and wrist X-ray. If these results are normal, TH is most likely the diagnosis and the S-ALP can be monitored over the next three months without further testing. In patients with persisting TH for more than three months and/or in children with pre-existing or suspected metabolic bone disease, further evaluation may be indicated. In conclusion, TH is a benign disorder in patients post-Tx. Detailed investigation including bone biopsy is only indicated in patients with persisting TH.
  • TH of infancy and early childhood is characterized by transiently increased S-ALP, predominantly its bone or liver isoforms. There are neither signs of metabolic bone disease or hepatopathy corresponding to the increased S-ALP, nor a common underlying/triggering disease. TH may also occur in children post-renal Tx, which may raise significant concerns and anxiety. We describe four patients aged 2.8-7 yr in whom the TH occurred at 11-34 (median = 28) months after Tx and lasted from 40 to 105 (median = 63) days. No obvious cause/trigger of TH could be found; the clinical status and bone turnover were not altered. In cases of TH post-Tx, we recommend the evaluation of basic biochemical indices and wrist X-ray. If these results are normal, TH is most likely the diagnosis and the S-ALP can be monitored over the next three months without further testing. In patients with persisting TH for more than three months and/or in children with pre-existing or suspected metabolic bone disease, further evaluation may be indicated. In conclusion, TH is a benign disorder in patients post-Tx. Detailed investigation including bone biopsy is only indicated in patients with persisting TH. (en)
Title
  • Transient hyperphosphatasemia in pediatric renal transplant patients - Is there a need for concern and when?
  • Transient hyperphosphatasemia in pediatric renal transplant patients - Is there a need for concern and when? (en)
skos:prefLabel
  • Transient hyperphosphatasemia in pediatric renal transplant patients - Is there a need for concern and when?
  • Transient hyperphosphatasemia in pediatric renal transplant patients - Is there a need for concern and when? (en)
skos:notation
  • RIV/00216208:11150/12:10124856!RIV13-MSM-11150___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I
http://linked.open...iv/cisloPeriodika
  • 1
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
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http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
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  • 174915
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11150/12:10124856
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • kidney transplantation; transient hyperphosphatasemia; alkaline phosphatase (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • GB - Spojené království Velké Británie a Severního Irska
http://linked.open...ontrolniKodProRIV
  • [0997A8D9BA6D]
http://linked.open...i/riv/nazevZdroje
  • Pediatric Transplantation
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 16
http://linked.open...iv/tvurceVysledku
  • Kutílek, Štěpán
  • Feber, Janusz
  • Skálová, Sylva
  • Geier, Pavel
  • Vethamuthu, Jennifer
http://linked.open...ain/vavai/riv/wos
  • 000299154200002
issn
  • 1397-3142
number of pages
http://bibframe.org/vocab/doi
  • 10.1111/j.1399-3046.2010.01379.x
http://localhost/t...ganizacniJednotka
  • 11150
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