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A Case Report of Very Severe Hyperphosphatemia (19.3 mg/dL) in a Uremic Patient Taking Honey and Persimmon Vinegar

Song SH, Goo YJ, Oh TR, Suh SH, Choi HS, Kim CS, Ma SK, Kim SW, Bae EH

We report a case of severe hyperphosphatemia in advanced CKD with poor compliance. A 55-year-old male patient with underlying type 2 diabetes mellitus, hypertension, and chronic kidney disease presented emergently...
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Factors Affecting Hyperphosphatemia in Hemodialysis Patients

Lee NH, Lim KH

PURPOSE: The purpose of this study was to identify factors affecting hyperphosphatemia in hemodialysis patients. METHODS: The participants of the study were 129 patients who had been diagnosed with end-stage renal...
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Effects of education on low-phosphate diet and phosphate binder intake to control serum phosphate among maintenance hemodialysis patients: A randomized controlled trial

Lim E, Hyun S, Lee JM, Kim S, Lee MJ, Lee SM, Oh YS, Park I, Shin GT, Kim H, Morisky DE, Jeong JC

BACKGROUND: For phosphate control, patient education is essential due to the limited clearance of phosphate by dialysis. However, well-designed randomized controlled trials about dietary and phosphate binder education have been...
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Tumor lysis syndrome

Kim H

Tumor lysis syndrome (TLS) is an oncologic emergency due to the rapid lysis of tumor cells and subsequent release of large amounts of intracellular potassium, phosphate, and uric acid into...
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A Case of Severe Hypercalcemia and Hyperphosphatemia Concomitant to Hyperthyroidism

Lee GY, Jeon WS, Ohn JH, Hong EG

Changes of serum electrolytes in patients with hyperthyroidism are often disregarded. Hypercalcemia has been reported in 17% to 50% of patients with hyperthyroidism. However, severe and symptomatic hypercalcemia is rare...
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Hyperphosphatemia is associated with patency loss of arteriovenous fistula after 1 year of hemodialysis

Moon JY, Lee HM, Lee SH, Lee TW, Ihm CG, Jo YI, Han SW, Shin SG

BACKGROUND: The patency of arteriovenous access is important for stable and effective hemodialysis, and long-term technical survival is best achieved with a native arteriovenous fistula (AVF). However, maintaining AVF patency...
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Treatment of phosphate retention: The earlier the better?

Biggar P, Fung SK, Ketteler M

  • KMID: 2224280
  • Kidney Res Clin Pract.
  • 2014 Mar;33(1):3-8.
Over the last 15 years, our knowledge and understanding of the underlying mechanisms involved in the regulation of calcium and phosphate homeostasis in chronic kidney disease have advanced dramatically. Contrary...
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Association of food intake with serum levels of phosphorus and potassium in hemodialysis patients

Woo HJ, Lee YJ, Oh IH, Lee CH, Lee SS

  • KMID: 2327457
  • J Nutr Health.
  • 2014 Feb;47(1):33-44.
PURPOSE: Elevated serum phosphorus and potassium levels are a major problem for hemodialysis (HD) patients. Hyperphosphatemia and hyperkalemia are closely related to intake of dietary phosphorus and potassium. METHODS: This study...
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A Case of Pseudohyperphosphatemia in a Patient with Multiple Myeloma

Lee SA, Lee JL, Park KW, Kim HS, Bae SH, Chang SH

  • KMID: 2267921
  • Korean J Med.
  • 2013 Jan;84(1):130-134.
Hyperphosphatemia develops when there is impaired renal phosphate excretion or massive extracellular fluid phosphate load. For example, renal insufficiency, hypoparathyroidism, exogenous phosphate administration, and extensive cellular injury induce a hyperphosphatemic...
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A Case of Tumoral Calcinosis in a Hemodialysis Patient with Secondary Hyperparathyroidism

Rou WS, Lee HK, Han KH, Kim DW, Kim YH, Joo M, Han SY

  • KMID: 1855504
  • Korean J Nephrol.
  • 2010 May;29(3):398-402.
Tumoral calcinosis is a periarticular calcific lesion and rare complication in patients with maintenance hemodialysis. The pathogenesis of tumoral calcinosis is poorly understood but may be due to elevated serum...
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Efficacy of Lanthanum Carbonate and Calcium Carbonate in Korean Dialysis Patients

Ko YS, Ryu JW, Lee JH, Yi JH, Han SW, Kim HJ

  • KMID: 2080053
  • Korean J Nephrol.
  • 2010 Jan;29(1):64-72.
PURPOSE: Hyperphosphatemia and renal osteodystrophy increase the mortality and morbidity in chronic kidney disease. We compared the effects of lanthanum carbonate (LC) and calcium carbonate (CC) on phosphate homeostasis and...
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A Case of Metastatic Gastric Calcification in Acute Renal Failure

Lim W, Song SH, Son J, Kang J, Yang BY, Seong EY, Kim GH, Lee DW, Kwak IS

  • KMID: 2253207
  • Korean J Nephrol.
  • 2009 Jan;28(1):53-57.
In end stage renal disease, the precise mechanism of metastatic calcification remains unclear, except that it occurs with hyperphosphatemia, increased Ca x P product, and secondary hyperparathyroidism. It involves various...
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A case of hyperphosphatemia and acute renal failure following the administration of solin(R) (oral sodium phosphate)

Park JW, Song JC, Lim HC, Kang BS, Bae KS, Park HJ, Ha SK

  • KMID: 2258722
  • Korean J Med.
  • 2008 Dec;75(6):689-693.
Solin(R) (oral sodium phosphate) is a commonly used osmotic laxative solution that has replaced polyethylene glycol in bowel preparation for colonoscopy as it has equal or greater efficacy and patient...
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Pseudohyperphosphatemia in a Patient with Multiple Myeloma

Lee Y, Koo T, Yi JH, Choi JH, Han SW, Park IK, Kim HJ

Hyperphosphatemia is an unusual manifestation in patients with multiple myeloma without a significantly reduced glomerular filtration rate. Serum phosphate may be falsely elevated when a large amount of paraproteins is...
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Risk Factors for the Progression of Pediatric Chronic Kidney Disease-A Single Center Study

Han KH, Lee SH, Lee HK, Choi HJ, Lee BH, Cho HY, Ha IS, Cheong HI, Choi Y

  • KMID: 2322131
  • J Korean Soc Pediatr Nephrol.
  • 2007 Oct;11(2):239-246.
PURPOSE: The progressive deterioration of renal function in children can impose a serious and lifelong impact on their lives. The ultimate goal in the management of children with chronic kidney...
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A Case of Hyperthyroidism Associated with Symptomatic Hypercalcemia

Choi JH, Lee WJ, Chung YH, Park HW, Lee DB, Won JC, Kim DJ, Kim GS

Two of the common causes of hypercalcemia are malignancy and primary hyperparathyroidism. These disorders are easily diagnosed by the clinical manifestations and measurement of the serum intact parathyroid hormone (PTH)...
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A Case of Severe Hyperphosphatemia and Hypocalcemic Tetany after Sodium Phosphate Administration in a Patient with Normal Renal Function

Choi HJ, Park JP, Lee YJ, John SH, Jung GM, Kim JH, Lee KY

  • KMID: 2079359
  • Korean J Nephrol.
  • 2003 Nov;22(6):736-739.
Oral sodium phosphate (NaP) is increasingly used to prepare patients for gastrointestinal procedures such as colonoscopy. Severe hyperphosphatemia may complicate bowel-cleansing preparation using oral NaP. The risk of hyperphosphatemia is...
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Acute Hyperphosphatemia and Hypocalcemia Following the Administration of Phosphate-containing Laxatives in Patients with End Stage Renal Disease

Cho HJ, Kim JS, Lim BK, Hwang JC, Choi YJ, Cho HK, Choi JH, Shin GT, Choi YI, Kim HS

  • KMID: 1611218
  • Korean J Nephrol.
  • 2002 Mar;21(2):327-331.
Oral or rectal sodium phosphate(NaP) preparation is commonly used for the colonic cleansing. Since the sole route of excretion of absorbed phosphate is renal, diminished renal function will limit the...
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A Case of Acute Renal Failure after Sodium Phosphate Administration

Kim IK, Pak JY, Song JH, Lee SW, Kim MJ

  • KMID: 2079220
  • Korean J Nephrol.
  • 2001 Nov;20(6):1098-1101.
Although oral sodium phosphate, a colonic cleasing agent for colonoscopy, had been usually known to be safe, several cases have been reported on the development of acute renal failure(ARF) after...
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A Combined Therapy for Hyperphosphatemia in the Tumor Lysis Syndrome: Hemodialysis and Continuo Arteriovenous Hemofiltration

Cho YS, Byun JS, Chin HJ, Huh WS, Kim YS, Heo DS, Ahn CR, Han JS, Kim SG, Lee JS

  • KMID: 2255017
  • Korean J Nephrol.
  • 1997 Mar;16(1):167-172.
The acute tumor lysis syndrome is an acute illness caused by massive cell lysis after chemotherapies. This syndrome is characterized by hyperuricemia, hyperphosphatemia with hypocalcemia and hyperkalemia. Among these electrolyte...
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