title: Anorexia nervosa: refeeding and hypophosphatemia.
abstract: A case of anorexia nervosa (AN) is reported where heart failure occurred secondary to severe hypophosphatemia despite oral phosphate supplementation. We recommend starting patients with AN on oral phosphate when refeeding is begun, monitoring serum phosphate every 1 to 2 days for at least the first week of refeeding, and discontinuation of refeeding during phosphate supplementation should severe hypophosphatemia develop.
authors.affiliation: Division of Internal Medicine, University of British Columbia, Vancouver.
authors.forename: C L
authors.initials: CL
authors.lastname: Birmingham
authors.forename: A F
authors.initials: AF
authors.lastname: Alothman
authors.forename: E M
authors.initials: EM
authors.lastname: Goldner
mesh_terms: D000284:Administration, Oral; D000328:Adult; D000856:Anorexia Nervosa / Q000150:complications*; D003131:Combined Modality Therapy; D016903:Drug Monitoring; D004750:Enteral Nutrition / Q000009:adverse effects; D005260:Female; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D017674:Hypophosphatemia / Q000209:etiology* / Q000628:therapy*; D010710:Phosphates / Q000627:therapeutic use*
chemical_list: D010710:Phosphates