Hypophosphatemia

Happy phosphorous and a science y new year!
This post is an excuse to wish a very happy new year from Immense Immunology Insight!

Hypophosphatemia is an electrolyte disturbance in which there is an abnormally low level of phosphate in the blood.

Signs and symptoms include - Muscle dysfunction and weakness, mental status changes, rhabdomyolysis, hemolytic anemia, etc.

Of course, it has a immunological consequence too - White cell dysfunction causing worsening of infections.

Hypophosphatemia has many causes, but is most commonly seen when malnourished patients (especially chronic alcoholics) are given large amounts of carbohydrates, which creates a high phosphorus demand by cells, removing phosphate from the blood (refeeding syndrome).

A very interesting observation on hypophosphatemia was made historically in concentration camp victims who died soon after being re-fed: it was observed that those given milk (high in phosphate) had a higher survival rate than those who did not get milk.

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