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Hypophosphatemia in malnourished children during refeeding.

Publication ,  Journal Article
Worley, G; Claerhout, SJ; Combs, SP
Published in: Clin Pediatr (Phila)
June 1998

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.

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Published In

Clin Pediatr (Phila)

DOI

ISSN

0009-9228

Publication Date

June 1998

Volume

37

Issue

6

Start / End Page

347 / 352

Location

United States

Related Subject Headings

  • Protein-Energy Malnutrition
  • Phosphorus
  • Pediatrics
  • Male
  • Hypophosphatemia
  • Humans
  • Gastrostomy
  • Female
  • Feeding Methods
  • Enteral Nutrition
 

Citation

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Worley, G., Claerhout, S. J., & Combs, S. P. (1998). Hypophosphatemia in malnourished children during refeeding. Clin Pediatr (Phila), 37(6), 347–352. https://doi.org/10.1177/000992289803700603
Worley, G., S. J. Claerhout, and S. P. Combs. “Hypophosphatemia in malnourished children during refeeding.Clin Pediatr (Phila) 37, no. 6 (June 1998): 347–52. https://doi.org/10.1177/000992289803700603.
Worley G, Claerhout SJ, Combs SP. Hypophosphatemia in malnourished children during refeeding. Clin Pediatr (Phila). 1998 Jun;37(6):347–52.
Worley, G., et al. “Hypophosphatemia in malnourished children during refeeding.Clin Pediatr (Phila), vol. 37, no. 6, June 1998, pp. 347–52. Pubmed, doi:10.1177/000992289803700603.
Worley G, Claerhout SJ, Combs SP. Hypophosphatemia in malnourished children during refeeding. Clin Pediatr (Phila). 1998 Jun;37(6):347–352.
Journal cover image

Published In

Clin Pediatr (Phila)

DOI

ISSN

0009-9228

Publication Date

June 1998

Volume

37

Issue

6

Start / End Page

347 / 352

Location

United States

Related Subject Headings

  • Protein-Energy Malnutrition
  • Phosphorus
  • Pediatrics
  • Male
  • Hypophosphatemia
  • Humans
  • Gastrostomy
  • Female
  • Feeding Methods
  • Enteral Nutrition