[A complex case of renal phosphate wasting…]

Abstract

We describe here the case report of a young man of 34-years old suffering from a haemorrhagic rectocolitis and presenting with marked hypophosphatemia secondary to an infusion of ferric-carboxymaltose. The renal phosphate wasting was asserted by a very low renal maximal reabsorption rate of phosphate associated with a high plasma FGF-23 level. Three months later we explored the patient and his father since we learnt that both of them had suffered from kidney stones for years with marked hypercalciuria. Kidney stones were composed of weddellite and carbapatite. We suspected a familial phosphate renal wasting syndrome but however no mutation of the renal phosphate carriers could be identified.

Keywords: Carboxymaltose ferrique; Diabète phosphaté; FGF-23; Ferric carboxymaltose; Hypercalciuria; Hypercalciurie; Hypophosphatemia; Hypophosphatémie; Kidney stone; Lithiase rénale; Renal phosphate carriers; Renal phosphate wasting; Transporteurs rénaux de phosphates.