Header

UZH-Logo

Maintenance Infos

Severe hypophosphataemia after intravenous iron administration


Anand, Gurpreet; Schmid, Christoph (2017). Severe hypophosphataemia after intravenous iron administration. BMJ Case Reports, 2017:online.

Abstract

Iron deficiency is common and can be effectively treated with parenteral iron infusion. We report a case of an iron-deficient and vitamin D-deficient woman who developed severe symptomatic hypophosphataemia following intravenous ferric carboxymaltose administration. We stress the need of increased awareness of this potential complication among physicians. Patients should be informed of this complication and instructed to report for follow-up if they experience new musculoskeletal symptoms or worsening of tiredness. As severe hypophosphataemia is usually symptomatic, we recommend screening symptomatic patients for this complication. Recognising and treating the possible exacerbating factors, especially vitamin D deficiency, might be a simple measure to mitigate this complication.

Abstract

Iron deficiency is common and can be effectively treated with parenteral iron infusion. We report a case of an iron-deficient and vitamin D-deficient woman who developed severe symptomatic hypophosphataemia following intravenous ferric carboxymaltose administration. We stress the need of increased awareness of this potential complication among physicians. Patients should be informed of this complication and instructed to report for follow-up if they experience new musculoskeletal symptoms or worsening of tiredness. As severe hypophosphataemia is usually symptomatic, we recommend screening symptomatic patients for this complication. Recognising and treating the possible exacerbating factors, especially vitamin D deficiency, might be a simple measure to mitigate this complication.

Statistics

Altmetrics

Downloads

1 download since deposited on 14 Aug 2017
1 download since 12 months
Detailed statistics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Endocrinology and Diabetology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:13 March 2017
Deposited On:14 Aug 2017 12:11
Last Modified:28 Aug 2017 13:08
Publisher:BMJ Publishing Group
ISSN:1757-790X
Free access at:PubMed ID. An embargo period may apply.
Publisher DOI:https://doi.org/10.1136/bcr-2016-219160
PubMed ID:28289000

Download

Preview Icon on Download
Preview
Content: Published Version
Filetype: PDF
Size: 307kB
View at publisher
Licence: Creative Commons: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)