<prompt> Enzyme increased in rickets?Acid phosphataseAlkaline phosphataseLDHSGOT  <response>: Ans. b Alkaline phosphatase. Ref. Nelson, Paediatrics 17thpg.281Alkaline phosphatase of serum level, 200 IUdl in normal children, increases to 500 IUdl in mild rickets and much higher levels are not uncommon. However, they may be normal in protein or zinc deficiency with rickets. Ca2PhosphateAlkaline phosphatasePTHHyperparathyroidismPagets disease of boneNNNVitamin D intoxicationNOsteomalaciaRicketsOsteoporosisNNNRenal insufficiencyNNote: Osteoblastic metastases are indicated by lower back pain and a t in serum alkaline phosphatase and PSA. 