Leukocyte Alkaline Phosphatase-
- enzyme found in all tissues
- located in neutrophils, involved in intracellular metabolism
- important in distinguishing between chronic granulocytic leukemia and leukemoid (leukemia-like) reactions
Decreased levels-
- nephrotic syndrome
- chronic granulocytic leukemia
- infectious mononucleosis
- paroxysmal nocturnal hemoglobinuria
- chronic myelogenous leukemia
- thrombocytopenic purpura
- sickle cell anemia.
Elevated levels-
- polycythemic vera
- leukemoid reactions
- myelofibrosis
- Hodgkin's disease
- aplastic leukemia
- thrombocytopenia
- multiple myeloma.
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