Alkaline phosphatase isoenzymes

Referred to Berkshire & Surrey Pathology Services, Frimley Park Hospital NHS Foundation Trust, Portsmouth Road, Frimley, Surrey GU16 7UJ
 

Alternative names, keywords

API, alk phos isoenzymes

Samples required

Clotted blood (gold cap, 5 mL tube). Smaller tubes are available for paediatric samples.

Test indications

For investigation of raised total ALP, although not helpful unless total ALP is >1.5 xULN

Indicated only if LFTs (including GGT) are normal, or liver source with additional bone contribution suspected.  A normal GGT suggests raised ALP is of predominantly bone origin.

Reference range

Age- and sex-related. See report.

Turnaround time

Referral lab quotes turnaround time of 7 days, however additional time must be allowed for packing, despatch and delivery of sample, and return and processing of results.

Enquiries

Biochemistry (Referrals)