<prompt> Highest LAP score is seen in:CMLPolychthemia veraPNHPregnancy  <response>: High levels are seen in: Infection Inflammatory disorder Groeth factor therapy Pregnancy OCP Stress Myeloproliferative disorders Drugs lithium,coicosteroids. Abnormally high levels of LAP is seen in myeloproliferative disorder e.g polycythemia vera and myelofibrosis. ref wintrobes clinical haematology12th15 