Dalovisio J R, Blonde L, Cortez L M, Pankey G A
Ann Intern Med. 1978 Apr;88(4):505-7. doi: 10.7326/0003-4819-88-4-505.
Three patients had subacute thyroiditis and elevated serum alkaline phosphatase, presumably related to the thyroiditis. Concomitant elevation of the serum gamma-glutamyl transferase suggested that the alkaline phosphatase was of hepatic origin. The elevation of the serum alkaline phosphatase could not be definitely related to the degree or duration of elevation of the serum thyroxine. The combination of elevated serum alkaline phosphatase with the systemic symptoms of subacute thyroiditis may obscure the diagnosis, especially if patients have little or no neck pain.
三名患者患有亚急性甲状腺炎且血清碱性磷酸酶升高，推测与甲状腺炎有关。血清γ-谷氨酰转移酶同时升高提示碱性磷酸酶来源于肝脏。血清碱性磷酸酶升高与血清甲状腺素升高的程度或持续时间并无明确关联。血清碱性磷酸酶升高与亚急性甲状腺炎的全身症状同时出现可能会使诊断变得模糊，尤其是当患者颈部疼痛轻微或无疼痛时。
