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Serum Alkaline Phosphatase Activity after Intravenous Administration of Albumin Preparation

Journal of the Korean Pediatric Society 1993;36(6):830-836.
Published online June 15, 1993.
Serum Alkaline Phosphatase Activity after Intravenous Administration of Albumin Preparation
June Huh, Kang Mo Ahn, Ja Wook Koo, Il Soo Ha, Hae Il Cheong, Yong Choi
Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea
Albumin제제 투여 후 혈청 Alkaline Phosphatase활성도의 변화에 대한 고찰
허준, 안강모, 구자욱, 하일수, 정해일, 최용
서울대학교 의과대학 소아과학교실
Abstract
Serum alkaline phosphatase(AP) activity is elevated in hepatobiliary disease, bone disease, pregnancy and certain neoplasms. Recently we experienced marked elevation of serum AP activity after administration of ablumin preparation in nephrotic patients who suffered from hypovolemic symptoms. So serum AP activity and the isoenzymes in the albumin preparations & patient뭩 serum after the administration of albumin preparation were studied. Serum AP activity was significantly predominant isoenzyme after administrationof albumin was significantly highter after administration of albumin preparation(318¡¾101IU/L) then before(123¡¾43IU/L). the was predominant before administration. AP activity in albumin preparation was high(2133¡¾14I0U/L) and the isoenzyme was mostly placental type. So we concluded that marked elevation of serum AP activity after administration of albumin was traced to the placental type AP isoenzyme in some albumin preparations which was manufactured from the plasma of placental origin. Elevated serum AP activity like these may lead to erroneous interpretation. Manufacturers should notify alkaline phosphatase activity in alboumin preparations of placental origin.
Key Words: Serum alkaline phosphatase, Albumin preparation


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