medicina59巻5号

2022年04月発行

特集 症例から学ぶ—電解質と体液量管理のベストアンサー 電解質の管理

低P血症—低P血症×全身痛

著者： 永瀬宏哉¹ 藤田芳郎¹

所属機関： ¹中部労災病院腎臓リウマチ膠原病科

ページ範囲：P.654 - P.660

症例
52歳男性
主訴　全身痛

参考文献

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4）Michel Chonchol, et al：Disorders of calcium, magnesium, and phosphate balance. Yu ASL（ed）：Brenner and Rector's The Kidney, eleventh edition, pp 604-612, Elsevier, Amsterdam, 2020

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8）Davis SV, et al：Reversible depression of myocardial performance in hypophosphatemia. Am J Med Sci 295：183-187, 1988

9）Zazzo JF, Troché G, et al：High incidence of hypophosphatemia in surgical intensive care patients；Efficacy of phosphorus therapy on myocardial function. Intensive Care Med 21：826-831, 1995

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11）Alsumrain MH, et al：Association of hypophosphatemia with failure-to-wean from mechanical ventilation. Ann Clin Lab Sci 40：144, 2010

12）Singhal PC, et al：Prevalence and predictors of rhabdomyolysis in patients with hypophosphatemia. Am J Med 92：458, 1992

13）Ravid M, Robson M：Proximal myopathy caused by latrogenic phosphate depletion. JAMA 236：1380, 1976

14）Jacob HS, Amsden T：Acute hemolytic anemia with rigid red cells in hypophosphatemia. N Engl J Med 285：1446, 1971

15）Craddock PR, et al：Acquired phagocyte dysfunction. A complication of the hypophosphatemia of parenteral hyperalimentation. N Engl J Med 290：1403, 1974

16）Basha B, et al：Osteomalacia due to vitamin D depletion；A neglected consequence of intestinal malabsorption. Am J Med 108：296, 2000

17）藤田芳郎，他：研修医のための輸液・水電解質・酸塩基平衡，中外医学社，2015

18）Moe SM, Kulkarni DP：Disorders of calcium, phosphorus, and magnesium homeostasis. Girbert SJ（ed）：National Kidney Foundation Primer on Kidney Diseases, seventh edition, pp 116-119, Elsevier, Amsterdam, 2018

19）Murer H：Homer smith award. Cellular mechanisms in proximal tubular Pi reabsorption；Some answers and more questions. J Am Soc Nephrol 2：1649, 1992

20）Gannage MH, et al：Osteomalacia secondary to celiac disease, primary hyperparathyroidism, and Graves' disease. Am J Med Sci 315：136, 1998

21）Brautbar N, et al：On the mechanism of hypophosphatemia during acute hyperventilation；Evidence for increased muscle glycolysis. Miner Electrolyte Metab 9：45, 1983

22）Nowack R, Wachtler P：Hypophosphatemia and hungry bone syndrome in a dialysis patient with secondary hyperparathyroidism treated with cinacalcet—proposal for an improved monitoring. Clin Lab 52：583, 2006

（2021年12月閲覧）

（2021年12月閲覧）