Corticosteroid-induced alkaline phosphatase isoenzyme in the diagnosis of canine hypercorticism

Vet Rec. 1989 Jul 1;125(1):12-4. doi: 10.1136/vr.125.1.12.

Abstract

Corticosteroid-induced isoenzyme of alkaline phosphatase (AP) can easily be demonstrated in canine plasma as a routine procedure because of its greater heat stability at 65 degrees C in comparison with that of other AP-isoenzymes. In this study the accuracy of this test for the diagnosis of hypercorticism was investigated. The AP-65 degrees C test had its highest efficiency when applied to plasma AP levels exceeding 150 units/litre. In a group of 146 dogs, clinically suspected of having hyperadrenocorticism, the test had a sensitivity of 0.92 and a positive predictive value for a positive test result of 0.89. Its lack of specificity (0.44) makes it unsuitable as a diagnostic test. The main application of AP-65 degrees C is in detecting hypercorticism in dogs by routine laboratory measurements, as was demonstrated in 711 dogs, in which a positive predictive value for the presence of hypercorticism of 0.89 was found.

MeSH terms

  • Adrenocortical Hyperfunction / diagnosis
  • Adrenocortical Hyperfunction / enzymology
  • Adrenocortical Hyperfunction / veterinary*
  • Alkaline Phosphatase / blood*
  • Animals
  • Clinical Enzyme Tests / veterinary
  • Dog Diseases / diagnosis*
  • Dog Diseases / enzymology
  • Dogs
  • Isoenzymes / blood*
  • Predictive Value of Tests

Substances

  • Isoenzymes
  • Alkaline Phosphatase