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Hypophosphatemia in the Nutritional Recovery Syndrome
Adam G. Mezoff, MD;
David A. Gremse, MD;
Michael K. Farrell, MD
Am J Dis Child. 1989;143(9):1111-1112.
Abstract
• We studied the incidence of hypophosphatemia in patients during the nutritional recovery syndrome. The charts of 150 patients receiving a complete nutritional assessment for 18 months were reviewed; 45 met established nutritional risk criteria. Only 9 of these 45 had serial phosphorus values measured during nutritional repletion, and 5 of these 9 patients had hypophosphatemia (phosphorus levels 0.97 mmol/L). Anthropometric measurements of arm circumference and arm muscle circumference were less than the fifth percentile in all patients developing hypophosphatemia. We concluded that hypophosphatemia is an underrecognized complication of nutritional repletion and that anthropometric measurements may be predictive of patients at risk. All patients with significant malnutrition should be evaluated for this complication of refeeding.
(AJDC. 1989;143:1111-1112)
Author Affiliations
From the Division of Gastroenterology and Nutrition, Children's Hospital Medical Center, Cincinnati, Ohio.
Footnotes
Accepted for publication March 27, 1989.
Reprint requests to Division of Gastroenterology and Nutrition, Children's Hospital Medical Center, Elland and Bethesda avenues, Cincinnati, OH 45229 (Dr Farrell).
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