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Anorexia nervosa: Refeeding and hypophosphatemia

✍ Scribed by Birmingham, C. Laird ;Alothman, Adel F. ;Goldner, Elliot M.

Publisher: Wiley (John Wiley & Sons)
Year: 1996
Tongue: English
Weight: 207 KB
Volume: 20
Category: Article
ISSN: 0276-3478
DOI: 10.1002/(sici)1098-108x(199609)20:2<211::aid-eat13>3.0.co;2-5

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✦ Synopsis

A case of anorexia nervosa (AN) is reported where heart failure occurred secondary to severe h ypophosphatemia despite oral phosphate supplementation. We recommend starting patients with AN on oral phosphate when refeeding is begun, monitoring serum phosphate every 1 to 2 days for at least the first week of refeeding, and discontinuation of refeeding during phosphate supplementation should severe hypophosphatemia develop.

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