Prostatic enzyme (Acid phosphatase, ACP)
Sources of acid phosphatase
ACP activity is
found in the prostate, bone, liver, spleen, kidney, erythrocytes, and
platelets. The prostate is the richest source. The estimation of acid
phosphatase is used in the diagnosis of prostatic carcinoma.
Diagnostic Significance
1. Prostatic
carcinoma, particularly metastatic carcinoma of the prostate.
2. Other
prostatic conditions
Ø Hyperplasia
of the prostate.
Ø Prostatic
surgery.
Ø Acute retention of urine.
Ø Passage
of catheter leads to pressure on prostatic cells.
Ø Following
rectal examination and prostate massage.
3. Bone
disease. Activity has been shown to be associated with the osteoclasts.
Ø Paget’s
disease
Ø Breast
cancer with bone metastases.
Ø Gaucher’s
disease, in which there is an infiltration of bone marrow and other tissue by
Gaucher cells rich in ACP activity.
4. Thrombocytopenia
resulting from excessive platelet destruction from idiopathic
thrombocytopenic
purpura.
5. Polycythemia
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