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Small child, low grade fever. Blood test shows elevated alkaline phosphate levels and lymphocytes. Treatment?

My 3 year old daughter has had a low grade fever for 3 1/2 weeks. Blood test indicate elevated alkaline phosphatase level (330) and Lymphocyte 67.2, slightly low mvp and slightly elevate mcv. Her pediatrician gave us a referral to a gastro Doc. at Children s hospital due to the alkaline phosphatase level. She has a twin with pre-b all, so we are very worried that something serious may be wrong.
Asked On : Tue, 19 Mar 2013
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General & Family Physician 's  Response
Thanks for posting your query.
In children Alkaline phosphatase is normally increased related to adults.It may range up to 350 U/L and less than it is considered normal. Fever and lymphocytosis (more lymphocytes) suggest viral infection.Infection mononucleosis caused by Ebstein Barr virus may be suspected.In such conditions paracetamol/ibuprofen is prescribed for fever, as viral infections resolve on its own. You are advised to get some labs like LFT (may be deranged in mononucleosis) and serological tests.
Do not worry, you should visit your doctor to rule out other diseases.
Hope it helps.
Take Care!
Answered: Sat, 6 Apr 2013
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