Publication: Isolated Hypophosphataemia Mimicking Cerebrovascular Accident
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Date
2019
Journal Title
Journal ISSN
Volume Title
Publisher
Universiti Malaysia Sabah
Abstract
Hypophosphataemia occurs in an abnormally low serum phosphate level. Three main mechanisms are postulated: decreased intestinal absorption, increased renal excretion, and extracellular shifts to intracellular compartments. It is potentially a fatal disease if not intervene. The management is merely treating the underlying disorder, giving phosphate supplement and requiring close biochemical monitoring. The incidence of symptomatic isolated hypophosphataemia is extremely rare. In this case report, a 33-year-old man presented with three days history of dysphagia, inability to complete sentences and generalized muscle weakness. He developed blurred vision especially upon exposure to bright light. He had a history of single parathyroidectomy for parathyroid adenoma 2 years ago. Physical examinations were unremarkable. Laboratory investigations were normal except for phosphate level of 0.30 mmol/L. Intravenous KH2PO4 with a dosage of 10 mmol was administered in slow bolus in 3 hours. His symptoms resolved slowly after correction. Although isolated hypophosphataemia is rare but need to recognize the symptoms and signs of hypophosphataemia and treat accordingly.
Description
Keywords
Hypophosphatemia,, cerebrovascular accident,, blood serum
Citation
Ngadiron, H., Rahim, R., Hayati, F., Azizan, N., & Ariffin, A. C. (2019). Isolated Hypophosphataemia Mimicking Cerebrovascular Accident. Borneo Journal of Medical Sciences (BJMS), 29. https://doi.org/10.51200/bjms.v0i0.1184