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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2020
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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. |
format | Online Article Text |
id | pubmed-7425624 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
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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