Hypophosphatemic encephalopathy in a CAPD patient.
Severe refeeding hypophosphatemia has been reported in infants and adults on continuous ambulatory peritoneal dialysis. We report an episode of transient encephalopathy and cardiac suppression in a diabetic, malnourished end-stage renal disease patient undergoing peritoneal dialysis with a glucose-based solution, which was associated with severe hypophosphatemia. Further investigation revealed an adynamic bone disease. The potential factors precipitating this episode of hypophosphatemia are discussed.
Department of Nephrology, Tabriz University of Medical Sciences, Tabriz, Iran.
Mohammad R
MR
Ardalan
Leili
L
Pourafkari
R Shane
RS
Tubbs
Mohammadali M
MM
Shoja
D001842:Bone and Bones / Q000378:metabolism; D001928:Brain Diseases, Metabolic / Q000209:etiology* / Q000378:metabolism; D002118:Calcium / Q000097:blood; D005260:Female; D006801:Humans; D017674:Hypophosphatemia / Q000097:blood / Q000209:etiology*; D007676:Kidney Failure, Chronic / Q000628:therapy; D044342:Malnutrition / Q000097:blood / Q000150:complications; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010710:Phosphates / Q000097:blood; D012720:Severity of Illness Index
D010710:Phosphates; D002118:Calcium