Reversible tubular dysfunction that mimicked Fanconi's syndrome in a patient with anorexia nervosa.
Patients with anorexia nervosa exhibit acid-base and electrolyte disturbances. Hypophosphatemia is commonly found in these patients during nutritional recovery. However, marked, possibly, life-threatening hypophosphatemia associated with proximal tubular dysfunction has not been previously described. We report a case of anorexia nervosa complicated by a nonacidotic proximal tubulopathy, which was manifested by renal glycosuria, as well as inappropriate phosphaturia and uricosuria resulting in hypophosphatemia and hypouricemia.
Alexandridis
G
G
Department of Internal Medicine, Medical School, University of Ioannina, Ioannina, Greece.
Liamis
G
G
Elisaf
M
M
D000328:Adult; D000855:Anorexia / Q000150:complications*; D005198:Fanconi Syndrome / Q000175:diagnosis* / Q000209:etiology*; D005260:Female; D006029:Glycosuria / Q000209:etiology; D006801:Humans; D017674:Hypophosphatemia / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology