Figure 711

Major causes of hypophosphatemia. (From Angus [1]; with permission.)

Internal redistribution

Decreased intestinal absorption

Increased urinary excretion

Increased insulin, particularly during refeeding Acute respiratory alkalosis Hungry bone syndrome

Inadequate intake Antacids containing aluminum or magnesium Steatorrhea and chronic diarrhea

Primary and secondary hyperparathyroidism Vitamin D deficiency or resistance Fanconi's syndrome Miscellaneous: osmotic diuresis, proximally acting diuretics, acute volume expansion

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