Alexandridis G, Liamis G, Elisaf M
Department of Internal Medicine, Medical School, University of Ioannina, Ioannina, Greece.
Int J Eat Disord. 2001 Sep;30(2):227-30. doi: 10.1002/eat.1078.
Patients with anorexia nervosa exhibit acid-base and electrolyte disturbances. Hypophosphatemia is commonly found in these patients during nutritional recovery. However, marked, possibly, life-threatening hypophosphatemia associated with proximal tubular dysfunction has not been previously described. We report a case of anorexia nervosa complicated by a nonacidotic proximal tubulopathy, which was manifested by renal glycosuria, as well as inappropriate phosphaturia and uricosuria resulting in hypophosphatemia and hypouricemia.
神经性厌食症患者会出现酸碱和电解质紊乱。在营养恢复过程中，这些患者常出现低磷血症。然而，之前尚未有与近端肾小管功能障碍相关的明显的、可能危及生命的低磷血症的报道。我们报告一例神经性厌食症并发非酸中毒性近端肾小管病的病例，其表现为肾性糖尿，以及不适当的磷酸盐尿和尿酸尿，导致低磷血症和低尿酸血症。
