A Consultant Paediatrician colleague has just told me that she doesn't
believe our alkaline phosphatase results, as she almost never sees a raised
level in children with suspected vitamin D and calcium deficiency (causing
rickets) subsequently demonstrated by lowish calcium and vitamin D levels
and raised PTH, as well as other clinical and radiological signs.
Our internal and external QC performace is exemplary and we will be
reviewing our data to see if she is correct in her conclusion (and if she
is we will stop doing them and save some money!).
Any suggestions why we might not be seeing expected elevations in AP or is
this something I should have known about?
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