[Reversion of hypophosphatemia after the excision of a composite hemangioendothelioma in the great toe].
We report a 43 years old male admitted to the hospital for progressive lumbar pain, lasting 20 years, that caused severe disability. On admission the patient had a serum phosphate of 2 mg/dl, an urine phosphate excretion over 300 mg/dl and serum alkaline phosphatases over 750 U/L. Serum intact parathormone was normal and tubular maximum phosphorus/glomerular filtration was 0.7 mg/dl. Bone scintigraphy showed an increased radionuclide uptake in condro-costal joints. Bone densitometry showed femoral osteoporosis. A violet colored mass was detected in a great toe. It was removed and the pathological diagnosis was a composite hemangioendothelioma. After tumor excision, serum phosphate levels returned to normal values and symptoms disappeared within 15 days.
Sapunar
Jorge
J
Unidad de Endocrinología, Facultad de Medicina, Universidad de La Frontera. finfin@surnet.cl
Roa
Juan Carlos
JC
Moscoso
Susana
S
D000328:Adult; D005534:Foot Diseases / Q000150:complications / Q000601:surgery*; D006390:Hemangioendothelioma / Q000150:complications / Q000601:surgery*; D006801:Humans; D017674:Hypophosphatemia / Q000209:etiology / Q000601:surgery*; D008297:Male; D010018:Osteomalacia / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D014034:Toes; D019043:Vascular Neoplasms / Q000150:complications / Q000601:surgery*