Hypophosphatemia in malnourished children during refeeding.
Journal Article
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.
Full Text
Duke Authors
Cited Authors
- Worley, G; Claerhout, SJ; Combs, SP
Published Date
- June 1998
Published In
Volume / Issue
- 37 / 6
Start / End Page
- 347 - 352
PubMed ID
- 9637898
Pubmed Central ID
- 9637898
International Standard Serial Number (ISSN)
- 0009-9228
Digital Object Identifier (DOI)
- 10.1177/000992289803700603
Language
- eng
Conference Location
- United States