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Case Reports
. 2017 Mar 13:2017:bcr2016219160.
doi: 10.1136/bcr-2016-219160.

Severe hypophosphataemia after intravenous iron administration

Gurpreet Anand  1 , Christoph Schmid  1
Affiliations
Case Reports

Severe hypophosphataemia after intravenous iron administration

Gurpreet Anand et al. BMJ Case Rep. .

Abstract

Iron deficiency is common and can be effectively treated with parenteral iron infusion. We report a case of an iron-deficient and vitamin D-deficient woman who developed severe symptomatic hypophosphataemia following intravenous ferric carboxymaltose administration. We stress the need of increased awareness of this potential complication among physicians. Patients should be informed of this complication and instructed to report for follow-up if they experience new musculoskeletal symptoms or worsening of tiredness. As severe hypophosphataemia is usually symptomatic, we recommend screening symptomatic patients for this complication. Recognising and treating the possible exacerbating factors, especially vitamin D deficiency, might be a simple measure to mitigate this complication.

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Conflict of interest statement

Competing interests: None declared.

References

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