Hypophosphatasia

Definition

  • Genetic error of the synthesis of alkaline phosphatase
  • Autosomally recessive
  • Syndrome is similar to rickets

Investigations

  • Xray
    • central cup or wedge in metaphyis
  • Histology
    • large quantities of unmineralized matrix & long columns of maturation
    • Alkaline phosphatase is necessary for maturation of the primary spongiosa
  • Blood
    • Normal Ca
    • Normal Vit D
    • Normal PTH
    • High urine phosphoethanolamine

Treatment

  • No definitive therapy