Life-threatening hypophosphataemia in a cirrhotic patient with jaundice (Journal article)

Moutzouri, E./ Liberopoulos, E. N./ Elisaf, M. S.

We report the case of a 51-year-old patient with a history of liver cirrhosis, who presented with jaundice (total bilirubin 50 mg/dl [855 micromol/l], direct bilirubin 20 mg/dl [342 micromol/l]) and life-threatening hypophosphataemia (serum phosphate 0.5 mg/dl [0.16 mmol/l]), accompanied by inappropriate phosphaturia. The patient also manifested hypouricaemia (serum uric acid 1.7 mg/dl [101 micromol/l]) with renal uric acid wasting and renal glycosuria. This generalized proximal tubular defect may occasionally be seen in deeply jaundiced patients. Therefore, serum phosphate levels should be closely monitored in these patients.
Institution and School/Department of submitter: Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής
ISSN: 1896-9151
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά)

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