Ardalan MR, Pourafkari L, Tubbs RS, Shoja MM
Hypophosphatemic encephalopathy in a CAPD patient. [Journal Article]
Am J Med Sci 2008 Jun; 335(6):492-4.
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.
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