Persistent hypercalcemia mimicking hypophosphatasia after discontinuation of a ketogenic diet: a case report.
Sabitha Sasidharan PillaiRenee RobilliardMeghan E FredetteMonica Serrano-GonzalezKevin J ScullyPublished in: Journal of pediatric endocrinology & metabolism : JPEM (2023)
Hypercalcemia may persist for an extended period after weaning from a KD; lab parameters may mimic that of hypophosphatasia as previously described in the literature. Normalization of alkaline phosphatase, a marker of bone turnover, indicates recovery from the adynamic state induced by the KD and typically precedes the normalization of calcium and PTH.