Abstract
Hypophosphatemia is defined as serum [Pi] <2.5 mg/dL. Patients receiving mannitol develop pseudohypophosphatemia, which is caused by the binding of mannitol to the molybdate used to determine the serum [Pi]. Hypophosphatemia can be severe (serum [Pi] <1.0 mg/dL), moderate (serum [Pi] 1.0–1.9 mg/dL), or mild (serum [Pi] 2.0–2.5 mg/dL). Severe hypophosphatemia can occur in patients with prolonged use of antacids, such as aluminum hydroxide, magnesium hydroxide, or calcium carbonate or acetate. Moderate hypophosphatemia may be symptomatic or asymptomatic.
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Reference
Taylor BE, Huey WY, Buchman TG, et al. Treatment of hypophosphatemia using a protocol based on patient weight and serum phosphorus level in a surgical intensive care unit (see comment). J Am Coll Surg. 2004;198:198–204.
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Amanjadeh J, Reilly RF Jr. Hypophosphatemia: an evidence-based approach to its clinical consequences and management. Nat Clin Pract Nephrol. 2006;2:136–48.
Bacchetta I, Salusky I. Evaluation of hypophosphatemia: lesions from patients with genetic disorders. Am J Kidney Dis. 2012;59:152–9.
Brunelli SM, Goldfarb S. Hypophosphatemia: clinical consequences and management. J Am Soc Nephrol. 2007;18:1999–2003.
Felsenfeld AJ, Levine BS. Approach to treatment of hypophosphatemia. Am J Kidney Dis. 2012;60:655–61.
Geerse DA, Bindels AJ, Kuiper MA, et al. Treatment of hypophosphatemia in the intensive care unit: a review. Crit Care. 2010;14:R147.
Hruska KA, Levi M, Slatopolsky E. Disorders of phosphorus, calcium, and magnesium metabolism. In: Coffman TM, Falk RJ, Molitoris BA, et al., editors. Schrier’s diseases of the kidney. 9th ed. Philadelphia: Lippincott Williams & Wilkins; 2013. p. 2116–81.
Imel EA, Econs MJ. Approach to the hypophosphatemic patient. J Clin Endocrinol Metab. 2012;97:696–706.
Liams G, Milionis HJ, Elisaf M. Medication-induced hypophosphatemia: a review. Q J Med. 2010;103:449–59.
Smogorzewski MJ, Stubbs JR, Yu ASL. Disorders of calcium, magnesium, and phosphate balance. In: Skorecki K, et al., editors. Brenner and Rector’s the kidney. 10th ed. Philadelphia: Elsevier; 2016. p. 601–35.
Subramanian R, Khardori R. Severe hypophosphatemia. Pathophysiologic implications, clinical presentations, and treatment. Medicine. 2000;79:1–8.
Tennenhouse HS, Murer H. Disorders of renal tubular phosphate transport. J Am Soc Nephrol. 2003;14:240–7.
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Reddi, A.S. (2018). Disorders of Phosphate: Hypophosphatemia. In: Fluid, Electrolyte and Acid-Base Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-60167-0_21
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DOI: https://doi.org/10.1007/978-3-319-60167-0_21
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