 |
|
Rheumatic Manifestations of Hypophosphatemia
Charles R. Moser, MD;
W. Jeffrey Fessel, MB, FACP, FRCP
Arch Intern Med. 1974;134(4):674-678.
Abstract
Four patients had hypophosphatemia: two from adult-onset vitamin D resistant rickets with associated benign mesenchymal tumors; the third patient had intestinal malabsorption, and the fourth used antacids excessively. The illnesses of the first two patients originally were misdiagnosed as ankylosing spondylitis; one of these two had fused sacroiliac joints, the other had lesser radiological changes in these joints. The third patient had peritendinitis calcarea with episodically inflamed joints. The fourth had a myopathy and sensory polyneuropathy. In each instance, there was a lengthy delay before the syndrome's association with hypophosphatemia was recognized. In two patients the symptoms ceased soon after the serum phosphorus levels had been normalized. The rheumatic manifestations of hypophosphatemia can be prominent but may be readily cured.
Author Affiliations
From the Department of Medicine, Kaiser-Permanente Medical Center, San Francisco.
Footnotes
Submitted for publication March 2, 1973; accepted July 31.
Reprint requests to 2200 O'Farrell St, San Francisco 94115 (Dr. Fessel).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Hypophosphatemic Rickets in an Adolescent Cured by Excision of a Nonossifying Fibroma
Asnes et al.
CLIN PEDIATR 1981;20:646-648.
ABSTRACT
The Pathophysiology and Clinical Characteristics of Severe Hypophosphatemia
Knochel
Arch Intern Med 1977;137:203-220.
ABSTRACT
Proximal Myopathy Caused by latrogenic Phosphate Depletion
Ravid and Robson
JAMA 1976;236:1380-1381.
ABSTRACT
|
