PHOSPHATE FOR HYPERCALCEMIA
Authors: O. BETTER
Journal: Annals of Internal Medicine (1967)

Letters and Comments1 December 1967PHOSPHATE FOR HYPERCALCEMIAO. BETTER, J. SHARF, J. HEMLI, S. BRANDSTAETTERO. BETTERSearch for more papers by this author, J. SHARFSearch for more papers by this author, J. HEMLISearch for more papers by this author, S. BRANDSTAETTERSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-67-6-1348 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editor: We read with great interest the letters to the editor in the August 1967 issue of the ANNALS concerning phosphate treatment for hypercalcemia (1, 2). In addition to the comments made by Goldsmith and Ingbar (1) about the safety of phosphate infusion and with which our experience agrees, we would like to raise a few points that were not stressed.In most cases, hypercalcemia can be controlled by rehydration and calciuria achieved by infusion of an adequate volume of saline. In severe hypercalcemia complicated by oliguric renal failure, however, phosphate is the only agent that will rapidly...References1. GOLDSMITHINGBAR RSSH: Phosphate, sulfate, and hypercalcemia (letters and comments). Ann. Intern. Med. 67: 463, 1967. LinkGoogle Scholar2. SHACKNEYHASSON SEJ: Phosphate, sulfate, and hypercalcemia (letters and comments). Ibid., p. 464. Google Scholar3. ALBRIGHTREIFENSTEIN FEC: The Parathyroid Glands and Metabolic Bone Disease. The Williams & Wilkins Co., Baltimore, 1948, p. 99. Google Scholar4. DENT CE: Some problems of hyperparathyroidism. Brit. Med. J. 2: 1495, 1962. CrossrefMedlineGoogle Scholar5. BIJOVETJANSENPRENENMAJOOR OLAPHCL: In West European Symposia on Clinical Chemistry. Vol. III. Water and Electrolyte Metabolism, edited by DE GRAEF, J., LEIJNSE, B. Elsevier Publishing Co., Amsterdam, 1964, p. 170. Google Scholar6. GOLDSMITHINGBAR RSSH: Inorganic phosphate treatment of hypercalcemia of diverse etiologies. New Eng. J. Med. 274: 1, 1966. CrossrefMedlineGoogle Scholar7. BREUERLEBAUER RIJ: Caution in the use of phosphates in the treatment of severe hypercalcemia. J. Clin. Endocr. 27: 695, 1967. CrossrefMedlineGoogle Scholar8. ALLEN AC: The Kidney. Grune & Stratton, Inc., 1962, p. 424. Google Scholar9. STRAUSSWELT MBLG (editors): Diseases of the Kidney. Little, Brown and Co., Boston, 1963, p. 580. Google Scholar10. ALBRIGHTREIFENSTEIN FEC: Ibid., p. 77. Google Scholar11. SHACKNEYHASSON SJ: Precipitous fall in serum calcium, hypotension, and acute renal failure after intravenous phosphate therapy for hypercalcemia. Ann. Intern. Med. 66: 906, 1967. LinkGoogle Scholar12. HELLMANBAIRDBARTTER DHRFC: Relationship of maximal tubular reabsorption to dietary phosphate in the dog. Amer. J. Physiol. 207: 97, 1967. CrossrefGoogle Scholar13. HEBERTLEMANPETERSENLENNON LAJJREJ: Studies of the mechanism by which phosphate infusion lowers serum calcium concentration. J. Clin. Invest. 45: 1886, 1966. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Renal Unit and Medical Department A Rambam Government Hospital Haifa Israel PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 December 1967Volume 67, Issue 6Page: 1348-1349KeywordsHypercalcemiaPhosphatesRenal failureSafety Issue Published: 1 December 1967 PDF DownloadLoading ...