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A rare case of parental iron-induced persistent hypophosphatemia

We report a case of an African American woman who presented with fatigue, generalized weakness, and hypophosphatemia in the setting of a recent hospitalization for severe, symptomatic iron deficiency anemia requiring ferric carboxymaltose infusions. Parental iron is indicated in numerous clinical se...

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Detalles Bibliográficos
Autores principales: Sullivan, Abigayle, Lanham, Theresa, Rubin, Adam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7425624/
https://www.ncbi.nlm.nih.gov/pubmed/32850057
http://dx.doi.org/10.1080/20009666.2020.1746521
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author Sullivan, Abigayle
Lanham, Theresa
Rubin, Adam
author_facet Sullivan, Abigayle
Lanham, Theresa
Rubin, Adam
author_sort Sullivan, Abigayle
collection PubMed
description We report a case of an African American woman who presented with fatigue, generalized weakness, and hypophosphatemia in the setting of a recent hospitalization for severe, symptomatic iron deficiency anemia requiring ferric carboxymaltose infusions. Parental iron is indicated in numerous clinical settings including chronic kidney disease, inflammatory bowel disease, and iron deficiency anemia. Ferric carboxymaltose is one of the most common forms of parental iron infusions used due to administration procedure and minimal reported side effects. The most common side effect reported is a transient decrease in serum phosphate. This case highlights the necessity of monitoring serum phosphate in the setting of parental iron infusions, especially ferric carboxymaltose, and when severe hypophosphatemia occurs management includes intravenous phosphorous and calcitriol.
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spelling pubmed-74256242020-08-25 A rare case of parental iron-induced persistent hypophosphatemia Sullivan, Abigayle Lanham, Theresa Rubin, Adam J Community Hosp Intern Med Perspect Case Report We report a case of an African American woman who presented with fatigue, generalized weakness, and hypophosphatemia in the setting of a recent hospitalization for severe, symptomatic iron deficiency anemia requiring ferric carboxymaltose infusions. Parental iron is indicated in numerous clinical settings including chronic kidney disease, inflammatory bowel disease, and iron deficiency anemia. Ferric carboxymaltose is one of the most common forms of parental iron infusions used due to administration procedure and minimal reported side effects. The most common side effect reported is a transient decrease in serum phosphate. This case highlights the necessity of monitoring serum phosphate in the setting of parental iron infusions, especially ferric carboxymaltose, and when severe hypophosphatemia occurs management includes intravenous phosphorous and calcitriol. Taylor & Francis 2020-05-21 /pmc/articles/PMC7425624/ /pubmed/32850057 http://dx.doi.org/10.1080/20009666.2020.1746521 Text en © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sullivan, Abigayle
Lanham, Theresa
Rubin, Adam
A rare case of parental iron-induced persistent hypophosphatemia
title A rare case of parental iron-induced persistent hypophosphatemia
title_full A rare case of parental iron-induced persistent hypophosphatemia
title_fullStr A rare case of parental iron-induced persistent hypophosphatemia
title_full_unstemmed A rare case of parental iron-induced persistent hypophosphatemia
title_short A rare case of parental iron-induced persistent hypophosphatemia
title_sort rare case of parental iron-induced persistent hypophosphatemia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7425624/
https://www.ncbi.nlm.nih.gov/pubmed/32850057
http://dx.doi.org/10.1080/20009666.2020.1746521
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