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Pathophysiology, clinical sequelae, and treatment for hypophosphatemia and hyperphosphatemia
are discussed. Hypophosphatemia results from a variety of conditions including malnutrition,
carbohydrate refeeding, acid-base disorders, and hormonal and drug effects. Patients
suffering from severe hypophosphatemia may present with a variety of syndromes that
can become detrimental and even life-threatening if this electrolyte depletion goes
untreated. Hyperphosphatemia occurs because of increased extracellular phosphate load
from either endogenous or exogenous sources or from a decrease in renal phosphate
excretion. Left untreated, hyperphosphatemia can result in dangerous calcium-phosphate
precipitation into vital organs and tissues.
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© 1991 Elsevier Inc. Published by Elsevier Inc. All rights reserved.