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.
Ardalan
Mohammad R
MR
Department of Nephrology, Tabriz University of Medical Sciences, Tabriz, Iran.
Pourafkari
Leili
L
Tubbs
R Shane
RS
Shoja
Mohammadali M
MM
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