Pediatr. praxi. 2016;17(3):146-149 | DOI: 10.36290/ped.2016.033

How to diagnose and treat hypophosphatasia

doc.MUDr.Zdeněk Šumník, Ph.D., MUDr.Ondřej Souček, Ph.D., prof.MUDr.Jan Lebl, CSc.
Pediatrická klinika 2. LF UK a FN v Motole, Praha

Hypophosphatasia (HPP) is a rare disease caused by insufficient production of alkaline phosphatase (ALP). Main symptoms of

HPP are skeletal demineralisation and severe extraskeletal complications, i.e. respiratory failure, seizures, craniosynostosis, nephrocalcinosis

or developmental delay. Diagnostics of HPP is simple, based on low serum ALP accompanied by clinical symptoms.

Enzymatic substitution with recombinant ALP, which completely changed life prognosis of the most severe patients, is available

since 2015. This review summarizes current knowledge on aetiology, forms, diagnostics and therapy with a special attention on

the role of paediatrician in recognition of this disorder.

Keywords: hypophosphatasia, alkaline phosphatase, children, fraktures

Published: August 1, 2016  Show citation

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Šumník Z, Souček O, Lebl J. How to diagnose and treat hypophosphatasia. Pediatr. praxi. 2016;17(3):146-149. doi: 10.36290/ped.2016.033.
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