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Disorders of Phosphate: Hyperphosphatemia

  • Alluru S. ReddiEmail author
Chapter

Abstract

Hyperphosphatemia is defined as serum [Pi] > 4.5 mg/dL. Spurious increase in serum [Pi] is called pseudohyperphosphatemia . It is rather rare but has been described in conditions of hyperglobulinemia, hypertriglyceridemia, and hyperbilirubinemia. This spurious increase has been attributed to the interference of proteins and triglycerides in the colorimetric assay of phosphate. The causes of true hyperphosphatemia can be grouped under three major categories: (1) addition of phosphate from the intracellular fluid (ICF) to extracellular fluid (ECF) compartment; (2) a decrease in renal excretion of phosphate; and (3) drugs. In clinical practice, acute and chronic kidney diseases are probably the most significant causes of hyperphosphatemia.

Keywords

Hyperphosphatemia Pseudohyperphosphatemia Hyperglobulinemia Hypertriglyceridemia Hyperbilirubinemia Kidney injury Sodium phosphate 

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Medicine Division of Nephrology and HypertensionRutgers New Jersey Medical SchoolNewarkUSA

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