Hypophosphatemia in malnourished children during refeeding
| Autor: | Stephen P. Combs, Gordon Worley, Susan J. Claerhout |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Hemolytic anemia
Male Pediatrics medicine.medical_specialty Obtundation 030309 nutrition & dietetics Hypophosphatemia Protein-Energy Malnutrition Feeding Methods 03 medical and health sciences 0302 clinical medicine Enteral Nutrition Medicine Humans Child Gastrostomy 0303 health sciences business.industry Metabolic disorder nutritional and metabolic diseases Phosphorus medicine.disease Dysphagia Surgery Malnutrition Anorexia nervosa (differential diagnoses) Child Preschool Pediatrics Perinatology and Child Health 030211 gastroenterology & hepatology Female medicine.symptom business Rhabdomyolysis |
| Zdroj: | Clinical pediatrics. 37(6) |
| ISSN: | 0009-9228 |
| Popis: | Hypophosphatemia in malnourished children during nutritional recovery (refeeding hypophosphatemia) is recognized as a cause of morbidity and mortality in adolescents with anorexia nervosa but has been only rarely reported to occur in younger children with other diagnoses. Over a 6-year period, we encountered three cases of refeeding hypophosphatemia in malnourished children admitted to a pediatric rehabilitation hospital. Two children had neurologic dysphagia and one had been starved by an abusive parent. The one patient who was symptomatic had obtundation, hemolytic anemia, rhabdomyolysis, and hepatocellular injury that began during refeeding and resolved with treatment. The signs and symptoms, pathophysiology, and treatment of refeeding hypophosphatemia are reviewed. |
| Databáze: | OpenAIRE |
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