title: Recurrent persistent hypophosphatemia in a male-to-female transgender patient with anorexia nervosa: Case report.
abstract: Refeeding hypophosphatemia remains a serious and common complication during the early phases of nutritional rehabilitation and weight restoration for patients with anorexia nervosa. Typically, the risk of refeeding hypophosphatemia diminishes after the first 1-2 weeks of the refeeding process and thus, frequent monitoring serum phosphorus levels becomes less important as refeeding proceeds. Herein, we describe a case of persistent recurrent hypophosphatemia in a male-to-female transgender patient with severe anorexia nervosa. As transgender patients become increasingly seen in the realm of eating disorders, it is worth noting this phenomenon to mitigate adverse events.
authors.affiliation: Eating Recovery Center, Denver, Colorado.
authors.forename: L
authors.initials: L
authors.lastname: Beaty
authors.affiliation: Eating Recovery Center, Denver, Colorado.
authors.forename: N
authors.initials: N
authors.lastname: Trees
authors.affiliation: Eating Recovery Center, Denver, Colorado.|Department of Medicine, University of Colorado Health Sciences Center.|ACUTE at Denver Health, Denver, Colorado.
authors.forename: P
authors.identifier: 0000-0002-9598-6428
authors.initials: P
authors.lastname: Mehler
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000150:complications* / Q000473:pathology; D001835:Body Weight / Q000502:physiology*; D005260:Female; D006801:Humans; D017674:Hypophosphatemia / Q000209:etiology*; D008297:Male; D063106:Transgender Persons / Q000523:psychology*
keywords: anorexia nervosa; estrogen; hypophosphatemia; refeeding; renal; transgender