title: Panic-related hyperventilation resulting in hypophosphataemia and a high lactate.
abstract: A 22-year-old lady presented to the emergency department with dyspnoea and pleuritic chest pain. Life-threatening asthma, pulmonary embolus and pneumothorax were all excluded. However, investigations did show an unexplained hypophosphataemia and raised lactate, both of which were subsequently attributed to hyperventilation with a component of panic. Here we explore the mechanism of these findings and the management of hypophosphataemia.
authors.affiliation: Department of Acute Medicine, Gloucestershire Royal Hospital, Gloucester, UK. suarez.nick@gmail.com
authors.forename: Nicolas
authors.initials: N
authors.lastname: Suarez
authors.forename: Nerys
authors.initials: N
authors.lastname: Conway
authors.forename: Tom
authors.initials: T
authors.lastname: Pickett
mesh_terms: D000328:Adult; D002637:Chest Pain / Q000209:etiology; D004417:Dyspnea / Q000209:etiology; D005260:Female; D006801:Humans; D006985:Hyperventilation / Q000097:blood / Q000150:complications*; D017674:Hypophosphatemia / Q000097:blood / Q000209:etiology*; D019344:Lactic Acid / Q000097:blood*; D010200:Panic; D055815:Young Adult
chemical_list: D019344:Lactic Acid