Isolated Hypophosphataemia Mimicking Cerebrovascular Accident

Authors

  • Hanizah Ngadiron
  • Razrim Rahim
  • Firdaus Hayati Department of Surgery, Faculty of Medicine and Health Sciences
  • Nornazirah Azizan Department of Pathobiology and Medical Diagnostic, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia
  • Affirul Chairil Ariffin Faculty of Medicine, Universiti Sains Islam Malaysia, Kuala Lumpur, Malaysia

DOI:

https://doi.org/10.51200/bjms.v13i1.1184

Keywords:

Hypophosphatemia, cerebrovascular accident, blood serum

Abstract

Hypophosphataemia occurs in an abnormally low serum phosphate level. Three main mechanisms are postulated: decreased intestinal absorption, increased renal excretion, and extracellular shifts to intracellular compartments. It is potentially a fatal disease if not intervene. The management is merely treating the underlying disorder, giving phosphate supplement and requiring close biochemical monitoring. The incidence of symptomatic isolated hypophosphataemia is extremely rare. In this case report, a 33-year-old man presented with three days history of dysphagia, inability to complete sentences and generalized muscle weakness. He developed blurred vision especially upon exposure to bright light. He had a history of single parathyroidectomy for parathyroid adenoma 2 years ago. Physical examinations were unremarkable. Laboratory investigations were normal except for phosphate level of 0.30 mmol/L. Intravenous KH2PO4 with a dosage of 10 mmol was administered in slow bolus in 3 hours. His symptoms resolved slowly after correction. Although isolated hypophosphataemia is rare but need to recognize the symptoms and signs of hypophosphataemia and treat accordingly.

Author Biographies

Hanizah Ngadiron

Faculty of Medicine,
Universiti Sains Islam Malaysia,
Kuala Lumpur, Malaysia.

Razrim Rahim

Faculty of Medicine,
Universiti Sains Islam Malaysia,
Kuala Lumpur, Malaysia

Firdaus Hayati, Department of Surgery, Faculty of Medicine and Health Sciences

Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, 88400 Kota Kinabalu, Sabah

Nornazirah Azizan, Department of Pathobiology and Medical Diagnostic, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia

Department of Pathobiology and Medical Diagnostic,

Faculty of Medicine and Health Sciences,

Universiti Malaysia Sabah,

Kota Kinabalu, Sabah, Malaysia

Affirul Chairil Ariffin, Faculty of Medicine, Universiti Sains Islam Malaysia, Kuala Lumpur, Malaysia

Faculty of Medicine,
Universiti Sains Islam Malaysia,
Kuala Lumpur, Malaysia

Published

2019-01-29

How to Cite

Ngadiron, H., Rahim, R., Hayati, F., Azizan, N., & Ariffin, A. C. (2019). Isolated Hypophosphataemia Mimicking Cerebrovascular Accident. Borneo Journal of Medical Sciences (BJMS), 13(1), 29. https://doi.org/10.51200/bjms.v13i1.1184
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