期刊
AMERICAN JOURNAL OF HEMATOLOGY
卷 69, 期 3, 页码 223-224出版社
WILEY-LISS
DOI: 10.1002/ajh.10071
关键词
constipation; calcium; enema; anemia; ATP; RBC morphology
类别
A 3-year-old child presented with severe hyperphosphatemia (phosphate 45: mg/dL) secondary to chronic enema use. Following aggressive correction of the hyperphosphatemia, hypophosphatemia ensued (phosphate 1.7 mg/dL). Concurrently, the patient developed severe intravascular hemolysis and RBC morphologic defects. The hemolysis and morphologic defects corrected with return to normal serum phosphate levels. Severe hypophosphatemia is a rare cause of intravascular hemolysis. (C) 2002 Wiley-Liss, Inc.
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