JAMDA
Volume 11, Issue 7 , Pages 468-474, September 2010

A Synopsis of Phosphate Disorders in the Nursing Home

  • Xiaolei Shelly Xing, MD

      Affiliations

    • UCLA David Geffen School of Medicine, Los Angeles, CA
    • Corresponding Author InformationAddress correspondence to Xiaolei Shelly Xing, MD, 10070 Valley Boulevard, #101, El Monte, CA 91731.
  • ,
  • Dean T. Yamaguchi, MD

      Affiliations

    • UCLA David Geffen School of Medicine, Los Angeles, CA
    • Greater Los Angeles Veterans Affairs Medical Center, Los Angeles, CA
  • ,
  • Nancy T. Weintraub, MD

      Affiliations

    • UCLA David Geffen School of Medicine, Los Angeles, CA
    • Greater Los Angeles Veterans Affairs Medical Center, Los Angeles, CA

published online 09 April 2010.

Elderly patients are at an increased risk of developing both hypophosphatemia and hyperphosphatemia. Renal insufficiency predisposes elderly patients to elevated serum concentrations of phosphate. On the other hand, poor dietary intake and loss of phosphorus in the urine can lead to deficiency states. It is well documented that hyperphosphatemia is correlated with an increase in morbidity and mortality as a result of vascular calcification. This article reviews the etiology, pathophysiology, symptoms, and treatment of hypophosphatemia and hyperphosphatemia.

Keywords: Hypophosphatemia, hyperphosphatemia, phosphorus

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PII: S1525-8610(09)00373-9

doi:10.1016/j.jamda.2009.10.007

JAMDA
Volume 11, Issue 7 , Pages 468-474, September 2010